Organization
STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Parent organization
STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Other names
Midtown Mobile Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Authorized official
MR. JEFFREY GRIMSLEY (INTERIM CFO)
(601) 815-8732
Entity
Organization
Contact information
Practice address
258 E FORTIFICATION ST, JACKSON, MS 39202-2356
(601) 815-8230
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6270
(601) 815-4119
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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