State of Mississippi-University of Mississippi Medical Center
Doing business as Ummc-Grenada Specialty Pediatrics
Rural health clinic in Grenada, MS, Medicare certification number 258627.
Medicare certification
Provider of Services- CCN
- 258627
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- For profit – corporation
- Participating since
- Nov 21, 2017
- Last certification
- Jan 14, 2021
- Address
- 965 Avent Drive, Suite 100-B
Grenada, MS 38901
(662) 227-6425
NPI records for this facility (CCN to NPI Mapping) 1
-
dba UMMC Grenda Specialty Peds
- Rural Health Clinic/Center
- Grenada, MS
- NPI 1578011417
Medicare enrollment
Other rural health clinics in Grenada, MS
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.