State Of Mississippi- University Of Mississippi Medical Center in Jackson - End-stage Renal Disease (esrd) Treatment
State Of Mississippi- University Of Mississippi Medical Center - NPI 1194930693
State Of Mississippi- University Of Mississippi Medical Center is a End-stage Renal Disease (esrd) Treatment in Jackson, Mississippi. State Of Mississippi- University Of Mississippi Medical Center practices all healthcare services and medical treatments related to End-stage Renal Disease (esrd) Treatment. The NPI Number for State Of Mississippi- University Of Mississippi Medical Center is 1194930693. The last update date is 2007-10-02.
State Of Mississippi- University Of Mississippi Medical Center's current location address is 350 W Woodrow Wilson Ave, Jackson, Mississippi. You can contact this provider via phone number 6018156350 and fax number 6018156348. The mailing address for State Of Mississippi- University Of Mississippi Medical Center is 350 W Woodrow Wilson Ave, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Mississippi- University Of Mississippi Medical Center |
|---|---|
| Address | 350 W Woodrow Wilson Ave, Jackson, Mississippi |
| Phone Number | 6018156350 |
| Fax Number | 6018156348 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSOCIATE |
|---|---|
| Authorized Official Name | Kennedy William |
| Telephone Number | 6019844699 |
NPI Number Detail
| NPI Number | 1194930693 |
|---|---|
| Provider Enumeration Date | 2007-05-10 |
| Last Updated Date | 2007-10-02 |
Provider Mailing Address Detail
| Address | 350 W Woodrow Wilson Ave |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392137681 |
| Phone Number | 6018156350 |
| Fax Number | 6018156348 |
Provider's Primary Taxonomy Detail
| Speciality | End-stage Renal Disease (esrd) Treatment |
|---|---|
| Taxonomy | 261Qe0700X |
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Definition: Provides dialysis and other medical care to patients with permanent kidney failure. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20256 | MS | -- |
Post Comment/ Review Below
What is the State Of Mississippi- University Of Mississippi Medical Center's unique identification number?
The State Of Mississippi- University Of Mississippi Medical Center has been assigned the NPI (National Provider Identifier) Number 1194930693 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where State Of Mississippi- University Of Mississippi Medical Center is physically located?
The State Of Mississippi- University Of Mississippi Medical Center is situated at the following address: 350 W Woodrow Wilson Ave, Jackson, MS 392137681.
What is the area of specialization for State Of Mississippi- University Of Mississippi Medical Center, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Of Mississippi- University Of Mississippi Medical Center is End-stage Renal Disease (esrd) Treatment, and the corresponding taxonomy code that categorizes this area of expertise is 261Qe0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1194930693 to State Of Mississippi- University Of Mississippi Medical Center?
The State Of Mississippi- University Of Mississippi Medical Center received its 1194930693 assignment from the Centers for Medicare & Medicaid Services on 2007-05-10.
As of what date was the information pertaining to State Of Mississippi- University Of Mississippi Medical Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to State Of Mississippi- University Of Mississippi Medical Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-02.
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