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 Rural Health Clinic/Center · NPI 1528495454

State of Mississippi-University of Mississippi Medical Center is a Rural Health Clinic/Center in Grenada, Mississippi. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

965 Avent Dr Ste 107
Grenada, MS 38901-5045
Phone: (662) 227-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X

Record details

NPI number1528495454
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of Mississippi-University of Mississippi Medical Center
Authorized official Jeffrey Grimsley — Asst. Cfo · (601) 984-9818
Other names University Of Mississippi Medical Center-Grenada Rural Health Clinic
NPI enumeratedOctober 10, 2013
Last updated in NPPESJune 12, 2017
Mailing address2500 North State Street, Jackson, MS 39216

Other providers in Grenada