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
National Provider Directory
- Tax ID family
- Sigurds O Krolls MD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00178856 | Medicaid | MS |
Other names
- University of MS Medical Center
NPI Registry JSON
{
"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
- 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
- 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
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All providers in Jackson, MS · Children's 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 Dec 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.