Organization · Type 2 NPI

State of Mississippi - University of Mississippi Medical Center

Rural Health Clinic/Center · Greenwood, MS

NPI number 1336911536 Active

Practice location

408 W Market St
Greenwood, MS 38930-4253

Call (662) 227-7000 Map

Mailing address

960 Avent Dr
Grenada, MS 38901-5230

Specialties and licenses

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

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

5 other providers at this address

Henry Flautt JR MD PAInternal Medicine Physician Greenwood, MS NPI 1578980298
Kenneth Hines MD PAInternal Medicine Physician Greenwood, MS NPI 1972689321
Frank Henry Flautt Jr., MDInternal Medicine Physician Greenwood, MS NPI 1760553655
Kenneth L. Hines, MDInternal Medicine Physician Greenwood, MS NPI 1215063219
Mary Gregg VancePrimary Care Nurse Practitioner Greenwood, MS NPI 1104742303

Other rural health clinic/center providers in Greenwood

See all in Greenwood →

NPI record

NPI: 1336911536
Entity type: Organization (Type 2)
Issued: Oct 23, 2023
Last updated: Oct 23, 2023
Status: Active
Subpart: Yes of State of Mississippi - University of Mississippi Medical Center

Other names

Ummc Greenwood Primary Care Clinic · doing business as

Authorized official

Mr. Scott Whittemore
CFO
(662) 227-7172

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 1336911536

State of Mississippi - University of Mississippi Medical Center's National Provider Identifier is 1336911536, issued on Oct 23, 2023. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Greenwood, MS. The record was last updated on Oct 23, 2023.