STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI# 1386630705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386630705 |
| Entity Type | Organization |
| Organization Name | STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Other Organization Name | HOLMES COUNTY HOSPITAL AND CLINIC |
| Practice Address |
239 Bowling Green Rd Lexington MS 39095-5167 |
| Mailing Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | 6628341321 |
| Practice Fax Number | 6018156301 |
| Mailing Telephone | 6628341321 |
| Mailing Fax Number | 6018156301 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2018-12-12 |
| Authorized Official Name | MR. JEFFREY GRIMSLEY (CFO) |
| Authorized Official Telephone | 6018156270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | STATE OF MS | 000020838 | 01 |
| MS | BLUE CROSS | 000020838 | 01 |
| MS | 00220609 | 05 | |
| MS | MEDICARE | C02544 | 01 |
| Other Name | Type Code |
|---|---|
| Holmes County Hospital and Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563527 | State of Mississippi - University of Mississippi Medical Center | Prosthetic/Orthotic Supplier | 1410 E Woodrow Wilson Ave Ste I, Jackson, MS 39216-5114 | 2019-08-12 |
| 1194738393 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 18295 Emory Road, West, MS 39192-0000 | 2006-08-15 |
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| 1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
| 1003431602 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 960 Avent Dr, Grenada, MS 38901-5230 | 2020-06-10 |
| 1821525957 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 1300 Sunset Dr Ste F, Grenada, MS 38901-4083 | 2017-05-19 |
| 1528595667 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 418b N Applegate St, Winona, MS 38967-1827 | 2017-05-19 |
| 1255883690 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 2500 N State St, Jmm Suite 2525, Jackson, MS 39216-4500 | 2016-11-02 |
| 1376969030 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 2500 N State St, Jackson, MS 39216-4500 | 2014-03-05 |
| 1972759132 | State of Mississippi - University of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | 2500 N State St, Jackson, MS 39216-4500 | 2008-08-07 |
| Street Address |
239 BOWLING GREEN RD |
| City | LEXINGTON |
| State | MS |
| Zip Code | 39095-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700872173 | State of Mississippi - University of Mississippi Medical Center | Medicare Defined Swing Bed Unit | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2005-09-21 |
| 1083035422 | Leslee S Loden | Occupational Therapist | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2014-01-03 |
| 1770864381 | Amy Chapman Johnson | Nurse Practitioner | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2011-09-09 |
| 1518149723 | Univ Hospital Holmes County | Clinic/Center | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-11-29 |
| 1821297961 | Keith I Stokes | Family Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-07-17 |
| 1124142559 | Mickey Aldridge | Nurse Practitioner | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-03-19 |
| 1902938624 | Mark Alan Smothers | Emergency Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-03-09 |
| 1457401788 | William Scott Elwood | Family Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2007-01-11 |
| 1033204383 | Jolynn M White | Nurse Practitioner | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2006-10-03 |
| 1013020395 | Umc Hosptial Clinics | Emergency Medicine | 239 Bowling Green Rd, Lexington, MS 39095-5167 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295282358 | Mallory Community Health | Clinic/Center | 9749 Brozville Road, Lexington, MS 39095 | 2016-09-07 |
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740624881 | Mallory Community Health | Clinic/Center | 300 Yazoo Street, Lexington, MS 39095 | 2013-04-19 |
| 1912245671 | Ciera N Draine | Social Worker | Dr Arenia C Mallory Community Health Center, 17280 Highway 17 S, Lexington, MS 39095 | 2013-01-30 |
| 1184933384 | John D. Whitehead | Durable Medical Equipment & Medical Supplies | 22743 Hwy 12, Lexington, MS 39095 | 2010-10-05 |
| 1942536552 | Durant Primary Care Clinic | Clinic/Center | 22741 Bowling Green Rd, Lexington, MS 39095 | 2009-11-02 |
| 1205082963 | Heather Killebrew Tutor, Dmd, Pa | Dentist | 302 Court Square, Lexington, MS 39095 | 2008-08-13 |
| 1023145430 | Charles D Howard | Dentist | 102 Wall St, Lexington, MS 39095 | 2007-02-27 |
| 1619069622 | Charles Walton Campbell | Family Medicine | 102 Carrollton St, Lexington, MS 39095 | 2006-09-28 |
| 1972617876 | Lexington Primary Care | Clinic/Center | 110 Tchula Street, Lexington Primary Care, Lexington, MS 39095 | 2006-08-18 |
| Find all providers in zip 39095 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477563427 | State of Mississippi - University of Mississippi Medical Center | General Acute Care Hospital | 239 Bowling Green Road, Lexington, MS 39095 | 2006-08-09 |
| 1841233640 | University of Kentucky | General Acute Care Hospital | Ms101 Ukmc 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-13 |
| 1639362460 | Midwest Division - Lrhc, LLC | General Acute Care Hospital | 1500 State St, Lexington, MO 64067-1107 | 2007-08-24 |
| 1649217605 | Midwest Division - Lrhc, LLC | General Acute Care Hospital | 1500 State St, Lexington, MO 64067-1107 | 2006-05-31 |
| 1679520258 | Midwest Division - Lrhc, LLC | General Acute Care Hospital | 1500 State St, Lexington, MO 64067-1107 | 2006-05-28 |
| 1699732362 | Lexington Regional Health Center | General Acute Care Hospital | 1201 N Erie St, Lexington, NE 68850-1571 | 2006-04-27 |
| 1467417352 | Lexington Regional Health Center | General Acute Care Hospital | 1201 N Erie St, Lexington, NE 68850-1571 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1700284502 | Cody Allen Simpson | General Acute Care Hospital | 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 | 2014-12-10 |
| 1326453648 | Kings Daughters Hospital of Yazoo County, Inc | General Acute Care Hospital | 748 E 15 St., Yazoo City, MS 39194 | 2014-06-25 |
| 1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1144339839 | Simpson Community Healthcare, Inc. | General Acute Care Hospital | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2006-08-29 |
| 1821103516 | Pontotoc Health Services, Inc. | General Acute Care Hospital | 176 S Main St, Pontotoc, MS 38863-3311 | 2006-08-20 |
| 1386654309 | Stone County Hospital, Inc. | General Acute Care Hospital | 1434 Central Ave E, P O Drawer 97, Wiggins, MS 39577-9602 | 2006-08-09 |
| 1114951324 | Patients Choice Medical Center of Humphreys County, LLC | General Acute Care Hospital | 500 C C Rd, Belzoni, MS 39038-3806 | 2006-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.