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Organization

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Active
Parent organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Other names
UMMC - Madison, Merit Health Madison
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Authorized official
JEFFREY GRIMSLEY (ASSOCIATE CFO)
(601) 815-6270
Entity
Organization

Contact information

Practice address
161 RIVER OAKS DRIVE, CANTON, MS 39046-5375
(601) 496-5500
(601) 855-5100
Mailing address
504 CLINTON CENTER DR STE 4100, CLINTON, MS 39056-5610
(601) 815-6381
(601) 855-5100

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
16243
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08087360
MS
01
20705
BLUE CROSS
MS
Enumeration date
05/24/2006
Last updated
02/20/2026
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