Organization · Type 2 NPI

State of Mississippi- University of Mississippi Medical Center

Clinic/Center · Jackson, MS

NPI number 1285126029 Active

Practice location

258 E Fortification St
Jackson, MS 39202-2356

Call (601) 815-8230 Map

Mailing address

2500 N State St
Jackson, MS 39216-4500

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3 other providers at this address

Other clinic/center providers in Jackson

See all in Jackson →

NPI record

NPI: 1285126029
Entity type: Organization (Type 2)
Issued: Jun 6, 2018
Last updated: Jun 6, 2018
Status: Active
Subpart: Yes of State of Mississippi- University of Mississippi Medical Center

Other names

<unavail>
Midtown Mobile Clinic · doing business as
Midtown Mobile Clinic · doing business as

Authorized official

Mr. Jeffrey Grimsley
Interim CFO
(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.

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About NPI 1285126029

State of Mississippi- University of Mississippi Medical Center's National Provider Identifier is 1285126029, issued on Jun 6, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Jackson, MS. The record was last updated on Jun 6, 2018.