# STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Holmes County Hospital & Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013020395
- **Authorized official:** JEFFREY GRIMSLEY (ASSOCIATE CFO - CLINICAL OPERATIONS)
- **Authorized official phone:** (662) 834-5157

## Contact information

- **Practice address:** 239 BOWLING GREEN RD, LEXINGTON, MS 39095-5167
- **Practice address phone:** (662) 834-1321
- **Practice address fax:** (662) 834-5240
- **Mailing address:** PO BOX 11407, DEPT 2130, BIRMINGHAM, AL 35246-2130
- **Mailing address phone:** (662) 834-1321
- **Mailing address fax:** (662) 834-5240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 11-199-S-2 | MS | — |
| 207Q00000X | Family Medicine Physician | 11-119-S-2 | MS | Yes |
| 207R00000X | Internal Medicine Physician | 11-199-S-2 | MS | — |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 07/10/2025