# UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376098327
- **Authorized official:** DR. JOHN EDWARD HALL PH.D. (CHAIR)
- **Authorized official phone:** (601) 984-1801

## Contact information

- **Practice address:** 2500 N STATE ST, JACKSON, MS 39216-4500
- **Practice address phone:** (601) 984-4353
- **Practice address fax:** (601) 984-1233
- **Mailing address:** 2500 N STATE ST, JACKSON, MS 39216-4500
- **Mailing address phone:** (601) 984-4353
- **Mailing address fax:** (601) 984-1233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2016
- **Last updated:** 08/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | YAX868122276M | — | MS |