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 39216-4500
(601) 984-1000
Mailing address
PO BOX 11407, DEPT 2130, BIRMINGHAM, AL 35246-2130
(601) 984-1000
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
10/03/2025
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