Organization · Type 2 NPI

State of Mississippi - University of Mississippi Medical Center

Rural Health Clinic/Center · West, MS

NPI number 1194738393 Active

Practice location

18295 Emory Road
West, MS 39192-0000

Call (662) 834-1321 Map

Fax (601) 815-6301

Mailing address

2500 N State St
Jackson, MS 39216-4500

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1194738393
Entity type: Organization (Type 2)
Issued: Aug 15, 2006
Last updated: May 8, 2020
Status: Active

Other names

<unavail>
Holmes Family Medical Clinic · doing business as
Holmes Family Medical Clinic · doing business as

Authorized official

Jeffrey Grimsley
Chief Financial Officer
(601) 815-8732

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1194738393

State of Mississippi - University of Mississippi Medical Center's National Provider Identifier is 1194738393, issued on Aug 15, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in West, MS. The record was last updated on May 8, 2020.