STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER


Address: 2500 N State St, Jackson, MS 39216-4500
Phone: 8668427574

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER (NPI# 1477734689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477734689
Entity Type Organization
Organization Name STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Practice Address 2500 N State St
Jackson
MS 39216-4500
Practice Telephone 8668427574
Practice Fax Number 6018156301
Mailing Telephone 8668427574
Mailing Fax Number 6018156301
Enumeration Date 2007-11-15
Last Update Date 2014-08-13
Authorized Official Name MR. WILLIAM KENNEDY (DIRECTOR OFD PATIENT FINANCIAL SERV)
Authorized Official Telephone 6019844680
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
Ambulatory Health Care Facilities

Other Provider IDs and Locations

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

Office Location

Street Address 2500 N STATE ST
City JACKSON
State MS
Zip Code 39216-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556231 University Ophthalmology Associates Ophthalmology 2500 N State St, Ste B329, Jackson, MS 39216-4500 2005-05-24
1396346607 Ashleigh Renfroe Hannah Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-11-03
1770182438 Tara P. Carter Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-10-22
1679189849 Raegan Wilson Registered Nurse 2500 N State St, Jackson, MS 39216-4500 2020-09-22
1851905095 Violet Maloba Awori Student in an Organized Health Care Education/Training Program 2500 N State St, Jackson, MS 39216-4500 2020-09-04
1295348639 Kassidy Voinche Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-25
1215549423 Brittney Leeann Williams Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-19
1912519364 Rashmi Verma Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2020-08-18
1982215414 Anita Dhanrajani Pediatrics 2500 N State St, Jackson, MS 39216-4500 2020-08-10
1528676954 Nicholas Mcafee Psychologist 2500 N State St, Jackson, MS 39216-4500 2020-07-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760092878 Bio-medical Applications of Mississippi, Inc. Clinic/Center 5722 I-55 N Frontage Road, Jackson, MS 39211 2020-08-04
1417481755 Bio-medical Applications of Mississippi, Inc. Clinic/Center 656 N State St, Jackson, MS 39202-3303 2017-04-13
1619274610 Total Renal Care Inc Clinic/Center 46 Harts Bridge Road, Jackson, TN 38301-0000 2011-02-28
1770711509 Fresenius Medical Care Kidney and Hypertension, LLC Clinic/Center 128 N Elm Ave, Jackson, MI 49202-3502 2009-07-01
1720220213 Ara-jackson Dialysis LLC Clinic/Center 3 Acy Ave, Suite B, Jackson, OH 45640-9561 2009-03-30
1912166778 Bio-medical Applications of Ohio Inc Clinic/Center 820 Veterans Dr, Jackson, OH 45640-2411 2008-06-06
1548489149 Synergy Dialysis Associates, LLC Clinic/Center 500 Mccarty Ln, Jackson, OH 45640 2007-04-24
1245324045 Rai Care Centers of Michigan I, LLC Clinic/Center 200 South East Ave., Jackson, MI 49201-2414 2006-10-03
1013019215 Bio-medical Applications of Kentucky, Inc. Clinic/Center 1550 Highway 15 S Ste 30, Jackson, KY 41339-9221 2006-09-01
1518079359 Bio-medical Applications of Louisiana, LLC Clinic/Center 2995 Race St, Jackson, LA 70748-5839 2006-08-31
Find all providers in JACKSON

Competitor

Search similar providers

City JACKSON
Zip Code 39216

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Dataset Information

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.

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