State Of Mississippi - University Of Mississippi Medical Center, NPI 1154317527
General Acute Care Hospital in Jackson, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1154317527
NPI Entity Type Organization
Provider Name State Of Mississippi - University Of Mississippi Medical Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2500 N State St, Jackson, MS, US
Provider Mailing Address 504 Clinton Center Drive, Cbo - Suite 4300, Clinton, MS, US, 39056
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Jeffrey Grimsley
Official Position INTERIM CFO
Phone 601-815-8732

Primary Taxonomy

Taxonomy Code

282N00000X

Taxonomy Name General Acute Care Hospital
Classification

General Acute Care Hospital

Group

Hospitals

License No. 11-199
License State MS
Description An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Business Address

State Of Mississippi - University Of Mississippi Medical Center
2500 N State St

Jackson, MS, US

Phone: 866-842-7574
Fax: 601-815-6301

Mailing Address

State Of Mississippi - University Of Mississippi Medical Center
504 Clinton Center Drive
Cbo - Suite 4300
Clinton, MS, US
ZIP 39056
Phone: 601-984-1000
Fax: 601-815-6301

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

282N00000X

Hospitals

General Acute Care Hospital

No

341600000X

Transportation Services

Ambulance

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
18204400002 PA MEDICAID 05
250001 TN MEDICAID 05
HS022OP AK MEDICAID 05
372079 AZ MEDICAID 05
HS022IP AK MEDICAID 05
XHSP32759 CA MEDICAID 05
XHSP42759 CA MEDICAID 05
009908195 AK MEDICAID 05
108481105 AR MEDICAID 05
1691529 NY MEDICAID 05
200125970A IN MEDICAID 05
23487232 CO MEDICAID 05
========= MS AETNA 01
000020149 MS BLUE CROSS OF MS 01
00550462 MS MEDICAID 05
1430321 KY MEDICAID 05
========= IL MEDICAID 05
00020149 MS MEDICAID 05
05375086 MS MEDICAID 05
1000022942 DE MEDICAID 05
100510031 NV MEDICAID 05
1185270 NV MEDICAID 05
00075205 MS MEDICAID 05
2314400 ID MEDICAID 05
908079 IA MEDICAID 05
========= MS COMMERICAL 01
========= MS BENMARK 01
10672004 MO MEDICAID 05
1154317527 MI MEDICAID 05
1731200 LA MEDICAID 05
2500001 NC MEDICAID 05
000020149 MS STATE OF MS 01
0104140 DC MEDICAID 05
188845 OH MEDICAID 05
========= MS TRICARE 01
HOS1149N AL MEDICAID 05

Other Providers in MS, US

NPI Name Taxonomy Address

1225531486

MISS MOT, OTR/L, SCLV Shirley Blanton

Individual

Low Vision Occupational Therapist

706 Highway 82 W

Greenwood, MS

1740818343

DO Madison Leigh Lindgren

Individual

Emergency Medicine Physician

2500 N State St

Jackson, MS

1750885588

Optimum Occupational Therapy Services, Llc

Organization

Low Vision Occupational Therapist

706 Highway 82 W

Greenwood, MS

1346965811

Jacqueline Cartwright

Individual

Non-emergency Medical Transport (VAN)

3171 Quartz Dr

Hernando, MS

1932740578

MSN, APRN, FNP-C Felisa Jeannette Hall

Individual

Family Nurse Practitioner

1046 Division St

Biloxi, MS

1356066716

IDD WAIVER SERVICES Debbie Jones

Individual

Day Training/Habilitation Specialist

405 N First St

Collins, MS

1902521362

IDD WAIVER SERVICES Beverly Johnson

Individual

Day Training/Habilitation Specialist

1406 Mississippi Dr

Waynesboro, MS

1821713272

CRISIS SERVICES Jaricia Kinchen

Individual

Mental Health Counselor

934 West Dr

Laurel, MS

1922723378

IDD WAIVER SERVICES Monolisa Keyes

Individual

Day Training/Habilitation Specialist

1224 Hillcrest Dr

Laurel, MS

1770208126

IDD WAIVER SERVICES Felicia Keller

Individual

Day Training/Habilitation Specialist

405 N First St

Collins, MS

1871218222

IDD WAIVER SERVICES Sharika Jones

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

1790400141

IDD WAIVER SERVICES Loverta Jones

Individual

Day Training/Habilitation Specialist

5192 Highway 11 N

Ellisville, MS

1265157614

IDD WAIVER SERVICES Tamekia Mckines

Individual

Day Training/Habilitation Specialist

119 Chambliss Dr

Hattiesburg, MS

1548985997

Mary Fowler

Individual

Day Training/Habilitation Specialist

5192 Highway 11 N

Ellisville, MS

1386369726

IDD WAIVER SERVICES Porosha Gaines

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

1386290369

DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond

Individual

Acute Care Nurse Practitioner

232 Market St

Flowood, MS

1851016299

IDD WAIVER SERVICES Fraxine Graves

Individual

Day Training/Habilitation Specialist

1110 42nd Ave

Gulfport, MS

1215652656

IDD WAIVER SERVICES Judy Jones

Individual

Day Training/Habilitation Specialist

405 N First St

Collins, MS

1235854670

IDD WAIVER SERVICES Michael Mcdonald

Individual

Day Training/Habilitation Specialist

41 Bonhomie Rd

Hattiesburg, MS

1083339428

IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

106 Mize St Apt 26

Ellisville, MS

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