Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GRIMSLEY (ASSOCIATE CFO-CLINICAL OPERATIONS)
(601) 815-6270
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216
(601) 984-1000
(601) 815-0434
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-2130
(601) 984-1000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11-199
MS
282N00000X
General Acute Care Hospital
—
—
341600000X
Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020149
STATE OF MS
MS
05
—
00020149
—
MS
05
—
00075205
—
MS
05
—
00550462
—
MS
05
—
009908195
—
AK
05
—
0104140
—
DC
05
—
05375086
—
MS
05
—
1000022942
—
DE
05
—
100510031
—
NV
05
—
10672004
—
MO
05
—
108481105
—
AR
05
—
1154317527
—
MI
05
—
1185270
—
NV
05
—
1430321
—
KY
05
—
1691529
—
NY
05
—
1731200
—
LA
05
—
18204400002
—
PA
05
—
188845
—
OH
05
—
200125970A
—
IN
05
—
2314400
—
ID
05
—
23487232
—
CO
05
—
2500001
—
NC
05
—
250001
—
TN
05
—
372079
—
AZ
05
—
908079
—
IA
01
—
=========
AETNA
MS
05
—
=========
—
IL
05
—
HOS1149N
—
AL
05
—
HS022IP
—
AK
05
—
HS022OP
—
AK
05
—
XHSP32759
—
CA
05
—
XHSP42759
—
CA
Enumeration date
09/21/2005
Last updated
01/23/2025
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