# STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

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

## Provider details

- **NPI number:** 1700872173
- **Authorized official:** MR. WILLIAM KENNEDY (DIRECTOR OF PATIENT FINANCIAL SERV)
- **Authorized official phone:** (601) 984-4680

## Contact information

- **Practice address:** 239 BOWLING GREEN RD, LEXINGTON, MS 39095-5167
- **Practice address phone:** (662) 834-1321
- **Practice address fax:** (601) 815-6301
- **Mailing address:** 2500 N STATE ST, JACKSON, MS 39216-4500
- **Mailing address phone:** (662) 834-1321
- **Mailing address fax:** (601) 815-6301

## Taxonomy

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

## Other

- **Enumeration date:** 09/21/2005
- **Last updated:** 06/26/2008
