STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI# 1821525957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821525957 |
| Entity Type | Organization |
| Organization Name | STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Other Organization Name | UMMC GRENADA SPECIALTY-GRENADA FAMILY MEDICAL CLINIC RHC |
| Practice Address |
1300 Sunset Dr Ste F Grenada MS 38901-4083 |
| Practice Telephone | (662) 227-0187 |
| Mailing Telephone | 6622270187 |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2017-05-19 |
| Authorized Official Name | MR. JEFFREY GRIMSLEY (ASST. CFO) |
| Authorized Official Telephone | 6018159818 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UMMC Grenada Specialty-Grenada Family Medical Clinic RHC | Other Name - Individual/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 |
| 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 |
| 1972759140 | State of Mississippi - University of Mississippi Medical Center | Dietitian, Registered | 2500 N State St, Jackson, MS 39216-4500 | 2008-08-07 |
| Street Address |
1300 SUNSET DR STE F |
| City | GRENADA |
| State | MS |
| Zip Code | 38901-4083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710365630 | Grenada Hematology Oncology LLC | Internal Medicine | 1300 Sunset Dr Ste F, Grenada, MS 38901-4083 | 2015-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435118 | The Mane Physician | Prosthetic/Orthotic Supplier | 94 Spain Drive, Grenada, MS 38901 | 2020-04-08 |
| 1942842166 | Sylvia C Bass | Technician | 813 Union Street, Grenada, MS 38901 | 2019-10-09 |
| 1669971180 | Jenny Taylor | Nurse Practitioner | 350 Sunset Drive, Grenada, MS 38901 | 2018-02-10 |
| 1073912762 | John Thomas Mcree I | Counselor | 2026 Commerce St Ste 8e, Grenada, MS 38901 | 2014-08-19 |
| 1700213634 | State of Mississippi-university of Mississippi Medical Center | Home Health | 960 Avent Drive, Grenada, MS 38901 | 2013-10-10 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1518256460 | Mercy Hospice LLC | Hospice Care, Community Based | 1410 Wooded Drive, Grenada, MS 38901 | 2011-03-31 |
| 1215256318 | Della Lea Welsh | Speech-Language Pathologist | 1321 Dd Sunset Dr., Grenada, MS 38901 | 2010-05-28 |
| 1750514543 | Family Health Care Clinic, Inc. | Clinic/Center | 1102 Telegraph St, Grenada, MS 38901 | 2009-08-27 |
| 1033384771 | Jason K Bennett | Pharmacist | 140 Shadow Wood Cv, Grenada, MS 38901 | 2008-04-24 |
| Find all providers in zip 38901 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528495454 | State of Mississippi-university of Mississippi Medical Center | Clinic/Center | 965 Avent Dr Ste 107, Grenada, MS 38901-5045 | 2013-10-10 |
| 1447264882 | Physicians and Surgeons | Clinic/Center | 1732 Commerce St, Grenada, MS 38901-4615 | 2006-07-29 |
| 1154506277 | Grenada Lake Medical Center | Clinic/Center | 965 Avent Dr Ste 105, Grenada, MS 38901-5045 | 2008-01-08 |
| 1013032150 | Woman's Health Clinic of Grenada, Inc | Clinic/Center | 1401 Oak St, Grenada, MS 38901-4633 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
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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.