# STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University of Mississippi Medical Center Colony Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770342578
- **Authorized official:** JEFFREY GRIMSLEY (ASSISTANT CFO)
- **Authorized official phone:** (601) 815-6270

## Contact information

- **Practice address:** 124 UMMC WAY, RIDGELAND, MS 39157
- **Practice address phone:** (601) 815-2005
- **Mailing address:** PO BOX 11407 DEPT 2130, BIRMINGHAM, AL 35246-2130
- **Mailing address phone:** (601) 815-2005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/15/2024
- **Last updated:** 08/06/2025