State of Mississippi-University of Mississippi Medical Center

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Doing business as

Ummc Grenada DME

Practice address

960 Avent Dr
Grenada, MS 38901-5230

Phone

(662) 227-7000

NPI assigned

Dec 4, 2013

Last updated

Dec 4, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTERAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin Cook

Title

Ceo

Phone

(601) 984-4113

Specialties & licenses 1

Addresses

Other names 1

• UMMC GRENADA DME Doing business as

Part of

State of Ms Univ of Ms Med

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1639500499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 AVENT DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015230",
            "telephone_number": "662-227-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 AVENT DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015230",
            "telephone_number": "662-227-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
        "enumeration_date": "2013-12-04",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-984-4113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMMC GRENADA DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• State of Mississippi - University of Mississippi Medical Center (UMMC Grenada Primary Medicine Clinic)
• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Center - Grenada Psych)
• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Medical Center-Grenada Rural Health Clinic)
• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Center-Grenada)
• State of Mississippi-University of Mississippi Medical Center (UMMC Grenda Specialty Peds)
• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Medical Center-Grenada Home Health Agency)
• State of Mississippi-University of Mississippi Medical Center (Ummc Grenada Ekg/Eeg Services)
• State of Mississippi-University of Mississippi Medical Center (UMMC Grenada Ambulance Service)
• State of Mississippi-University of Mississippi Medical Center (Ummc-Grenada Crna Services)
• State of Mississippi-University of Mississippi Medical Center (University of Mississippi Medical Center-Grenada Women's Services)

• Durable Medical Equipment & Medical Supplies in Grenada, MS
• Providers in Grenada, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.