State of Mississippi- University of Mississippi Medical Center

Organization Active NPI Children's Hospital · Jackson, MS

NPI 1689810327 · NPPES record last updated Dec 31, 2008

Key facts

NPI
1689810327
Entity type
Organization (NPI type 2)
Primary specialty
Children's Hospital 282NC2000X
Legal business name
STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 984-4540
Fax
(601) 815-6301
NPI assigned
Dec 31, 2008
Organization subpart
No

Authorized official

Name
Mrs. Michelle Brown
Title
Director of Patient Financial Serv
Phone
(601) 984-2173

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Sigurds O Krolls MD (62 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X Yes

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

2500 N State St
Jackson, MS 39216-4500
Phone (601) 984-4540

Other identifiers

IdentifierTypeStateIssuer
00178856MedicaidMS

Other names

  • University of MS Medical Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 31, 2008.

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1689810327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-4540",
            "fax_number": "601-815-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-4540",
            "fax_number": "601-815-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT FINANCIAL SERV",
        "authorized_official_telephone_number": "601-984-2173",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00178856",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of MS Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

All providers in Jackson, MS · Children's Hospital in Mississippi

Sources for this page

Verify at the official NPI Registry.