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Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Other names
Alyce G. Clarke Center for Medically Fragile Children
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GRIMSLEY (ASSOCIATE CFO-CLINICAL OPERATIONS)
(601) 815-6270
Entity
Organization
Contact information
Practice address
3850 EASTWOOD DRIVE, JACKSON, MS 39211
(601) 984-2972
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-3035
(601) 496-9782
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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