Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Parent organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Other names
UMMC Grenada Specialty-Grenada Family Medical Clinic RHC
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) 815-9818
Entity
Organization
Contact information
Practice address
1300 SUNSET DR STE F, GRENADA, MS 38901-4083
(662) 227-0187
Mailing address
1300 SUNSET DR STE F, GRENADA, MS 38901-4083
(662) 227-0187
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/19/2017
Last updated
07/21/2022
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