State of Mississippi - University of Mississippi Medical Center

Key facts

NPI

1003431602

Entity type

Organization (NPI type 2)

Primary specialty

Medicare Defined Swing Bed Hospital Unit 275N00000X

Legal business name

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Practice address

960 Avent Dr
Grenada, MS 38901-5230

Phone

(662) 227-7000

NPI assigned

Jun 10, 2020

Organization subpart

Yes

Parent organization (as reported)

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Authorized official

Name

Mr. Scott Whittemore

Title

Chief Financial Officer

Phone

(662) 227-7172

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• State of Mississippi - University of Mississippi Medical Center Critical Access Hospital · Lexington, MS · NPI 1386630705
  NPD member Member Of

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandi Coleman, M.D. Pediatrics Physician · Bay St Louis, MS · NPI 1942241922
  NPD (past)
• Bailee Rayborn, DNP, FNP-BC Family Nurse Practitioner · Gulfport, MS · NPI 1649976200
  NPD (past)

National Provider Directory

Part of

Sigurds O Krolls MD

Locations

Specialties & licenses

Addresses

Other names

• University of Mississippi Medical Center- Grenada Swing Bed Doing business as

Other providers in Grenada, MS

• Southside Medical Clinic, LLC
• Tonesha Spearman, RN
• Speech Pathology Services
• Stanford Medical Inc
• James K Stanford, M.D.
• State of Mississippi - University of Mississippi Medical Center
• State of Mississippi - University of Mississippi Medical Center
• State of Mississippi-University of Mississippi Medical Center
• State of Mississippi-University of Mississippi Medical Center
• State of Mississippi-University of Mississippi Medical Center

All providers in Grenada, MS · Medicare Defined Swing Bed Hospital Unit in Mississippi