Organization
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Parent organization
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Other names
University of Mississippi Medical Center-Grenada Rural Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Authorized official
MR. JEFFREY GRIMSLEY (ASST. CFO)
(601) 984-9818
Entity
Organization
Contact information
Practice address
965 AVENT DR STE 107, GRENADA, MS 38901-5045
(662) 227-7000
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 815-6381
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2013
Last updated
06/12/2017
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