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 WOMEN'S SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Authorized official
MR. SCOTT WHITTEMORE (CFO)
(601) 984-5017
Entity
Organization
Contact information
Practice address
960 AVENT DR FL 2, GRENADA, MS 38901-5230
(662) 226-5121
(662) 226-7529
Mailing address
504 CLINTON CENTER DRIVE, CBO SUITE 4300, CLINTON, MS 39056
(601) 815-2005
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2013
Last updated
10/30/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up