State of Mississippi - University of Mississippi Medical Center
Organization Active NPI Critical Access Hospital · Lexington, MS
NPI 1477563427 · NPPES record last updated Jun 26, 2008
Key facts
- NPI
- 1477563427
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
- Practice address
- 239 Bowling Green Road
Lexington, MS 39095 - Phone
- (662) 834-1321
- Fax
- (601) 815-6301
- NPI assigned
- Aug 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. William Kennedy
- Title
- Director of Patient Financial Serv
- Phone
- (601) 984-4680
Other NPIs on the same Medicare enrollment 15
Member of 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090414000575 | MS | Part B Supplier - Clinic/Group Practice | 1850293036 |
Receives reassigned benefits from 1,922 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
Addresses
Primary practice location
239 Bowling Green Road
Lexington, MS 39095
Mailing address
2500 N State St
Jackson, MS 39216-4500
Phone (662) 834-1321
Other names
- Univ Hospital Holmes County
Other providers in Lexington, MS
- Ednesha Smith
- Mark Alan Smothers
- Angela Parnell Spell
- 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
- Gerald W Stinson Jr.
- Keith I Stokes
- Lindsay Taylor
All providers in Lexington, MS · Critical Access Hospital in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.