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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
Merit Health Madison, UMMC-Madison Swing Bed
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 DRIVE, SUITE 4100, CLINTON, MS 39056
(601) 815-6381
(601) 855-5100

Taxonomy

Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02034566
MS
Enumeration date
06/27/2006
Last updated
11/03/2025
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