STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI# 1841620846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841620846 |
| Entity Type | Organization |
| Organization Name | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Other Organization Name | UNIVERSITY OF MISSISSIPPI MEDICAL CENTER-GRENADA WOMEN'S SERVICES |
| Practice Address |
1900 Grandview Dr Grenada MS 38901-5066 |
| Mailing Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | 6622265121 |
| Practice Fax Number | 6622267529 |
| Mailing Telephone | 6019844113 |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2018-09-18 |
| Authorized Official Name | MR. KEVIN COOK (CEO) |
| Authorized Official Telephone | 6019844113 |
| 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 |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UNIVERSITY OF MISSISSIPPI MEDICAL CENTER-GRENADA WOMEN'S SERVICES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578011417 | State of Mississippi-university of Mississippi Medical Center | General Acute Care Hospital | 965 Avent Dr Ste 100b, Grenada, MS 38901-5045 | 2016-09-21 |
| 1700213634 | State of Mississippi-university of Mississippi Medical Center | Home Health | 960 Avent Drive, Grenada, MS 38901 | 2013-10-10 |
| 1528495454 | State of Mississippi-university of Mississippi Medical Center | Clinic/Center | 965 Avent Dr Ste 107, Grenada, MS 38901-5045 | 2013-10-10 |
| 1780015396 | State of Mississippi-university of Mississippi Medical Center | Ambulance | 960 J K Avent Dr, Grenada, MS 38901-5230 | 2013-12-06 |
| 1720419583 | State of Mississippi-university of Mississippi Medical Center | General Acute Care Hospital | 960 Avent Dr, Grenada, MS 38901-5230 | 2013-12-04 |
| 1639500499 | State of Mississippi-university of Mississippi Medical Center | Durable Medical Equipment & Medical Supplies | 960 Avent Dr, Grenada, MS 38901-5230 | 2013-12-04 |
| 1831520691 | State of Mississippi-university of Mississippi Medical Center | Nurse Anesthetist, Certified Registered | 960 Avent Dr, Grenada, MS 38901-5230 | 2013-12-04 |
| 1932538527 | State of Mississippi-university of Mississippi Medical Center | Family Medicine | 965 Avent Dr, Suite 100a, Grenada, MS 38901-5045 | 2013-11-05 |
| 1083041917 | State of Mississippi-university of Mississippi Medical Center | Psychiatric Hospital | 960 Avent Dr, Grenada, MS 38901-5230 | 2013-10-10 |
| 1891122727 | State of Mississippi-university of Mississippi Medical Center | Skilled Nursing Facility | 960 Avent Dr, Grenada, MS 38901-5230 | 2013-10-10 |
| Street Address |
1900 GRANDVIEW DR |
| City | GRENADA |
| State | MS |
| Zip Code | 38901-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326008400 | Kimberley Janet Farmer | Obstetrics & Gynecology | 1900 Grandview Dr, Grenada, MS 38901 | 2006-03-24 |
| 1568683878 | Aimee Robinson Watts | Obstetrics & Gynecology | 1900 Grandview Dr, Grenada, MS 38901 | 2007-05-02 |
| 1669578894 | Grenada Lake Medical Center | Obstetrics & Gynecology | 1900 Grandview Dr, Grenada, MS 38901-5066 | 2006-09-15 |
| 1184644007 | Grenada Clinic for Women, Pa | Obstetrics & Gynecology | 1900 Grandview Dr, Grenada, MS 38901-5066 | 2006-07-21 |
| 1043238637 | Thomas Holden | Obstetrics & Gynecology | 1900 Grandview Dr, Grenada, MS 38901-5066 | 2006-07-18 |
| 1952329542 | Sidney Bondurant | Obstetrics & Gynecology | 1900 Grandview Dr, Grenada, MS 38901-5066 | 2006-07-18 |
| 1861410458 | Shelley Smith | Nurse Practitioner | 1900 Grandview Dr, Grenada, MS 38901-5066 | 2006-07-18 |
| 1588698542 | William Profilet Jr. | Obstetrics & Gynecology | 1900 Grandview Dr, Grenada, MS 38901-5066 | 2006-07-10 |
| 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 |
| 1821525957 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 1300 Sunset Dr Ste F, Grenada, MS 38901-4083 | 2017-05-19 |
| 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.