Organization · Type 2 NPI

State of Mississippi - University of Mississippi Medical Center

Rehabilitation Clinic/Center · Jackson, MS

NPI number 1619778586 Active

Practice location

350 W Woodrow Wilson Ave Ste 600
Jackson, MS 39213-7627

Mailing address

PO Box 11407
Birmingham, AL 35246-2130

Other practice locations

  • 764 Lakeland Dr Fl 4, Jackson, MS 39216-4651 · (601) 815-6700
  • 124 Ummc Way, Ridgeland, MS 39157 · (601) 815-6064

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist 235Z00000XNone listed
Rehabilitation Clinic/Center Primary 261QR0400XNone listed

Rehabilitation Clinic/Center: Definition to come...

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About NPI 1619778586

State of Mississippi - University of Mississippi Medical Center's National Provider Identifier is 1619778586, issued on Mar 24, 2025. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Jackson, MS. The record was last updated on Jul 22, 2025.