Organization
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, HOSPITA
Active
Other names
University of Miss Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY SITES (CHIEF OFFICE OF REV CYLE MGMT)
(601) 925-6800
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
(601) 926-3757
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
(601) 926-3757
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020836
BLUE CROSS
MS
Enumeration date
11/02/2011
Last updated
12/05/2011
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