# STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
- **Other names:** University of Mississippi Medical Center- Grenada Swing Bed
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003431602
- **Legal business name:** STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
- **Authorized official:** MR. SCOTT WHITTEMORE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (662) 227-7172

## Contact information

- **Practice address:** 960 AVENT DR, GRENADA, MS 38901-5230
- **Practice address phone:** (662) 227-7000
- **Mailing address:** 960 AVENT DR, GRENADA, MS 38901-5230
- **Mailing address phone:** (662) 227-7000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2020
- **Last updated:** 06/10/2020