STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

NPI: 1245818301 · Organization · Active

Primary Specialty

Clinic/Center

Practice Location

2500 N STATE ST
JACKSON, MS 39216-4500 Map ↗
Phone: 601-815-2005

Mailing Address

504 CLINTON CENTER DR
CBO-SUITE 4300
CLINTON, MS 39056-5677 Map ↗
Phone: 601-815-2005
Fax: 601-815-0434

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Clinic/Center Primary

HIE Endpoints

  • OTHERS: providerenrollment@umc.edu

NPI Registration

Enumerated: 2021-03-31

Last CMS Update: 2021-09-23