Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Other names
Holmes County Hospital and Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY GRIMSLEY (CFO)
(601) 815-6270
Entity
Organization
Contact information
Practice address
239 BOWLING GREEN RD, LEXINGTON, MS 39095-5167
(662) 834-1321
(601) 815-6301
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(662) 834-1321
(601) 815-6301
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020838
BLUE CROSS
MS
05
—
00220609
—
MS
01
—
C02544
MEDICARE
MS
Enumeration date
09/21/2005
Last updated
12/12/2018
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