Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of Mississippi- University of Mississippi Medical Center

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1194930693

State of Mississippi- University of Mississippi Medical Center is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jackson, Mississippi. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

350 W Woodrow Wilson Ave Ste 479
Jackson, MS 39213-7681
Phone: (601) 815-6350
Fax: (601) 815-6348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1194930693
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Kennedy — Associate Administrator · (601) 984-4699
Other names Umc Medical Mall
NPI enumeratedMay 10, 2007
Last updated in NPPESOctober 2, 2007
Mailing address350 W Woodrow Wilson Ave, Suite 479, Jackson, MS 39213-7681

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