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 1578011417

State of Mississippi-University of Mississippi Medical Center is a Rural Health Clinic/Center in Grenada, Mississippi. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2

Practice location Address checks out

965 Avent Dr Ste 100B
Grenada, MS 38901-5045
Phone: (662) 227-7172
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
Rural Acute Care Hospital Taxonomy 282NR1301X

Record details

NPI number1578011417
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Whittemore — Cfo Grenada/Holmes County · (662) 227-7172
Other names Ummc Grenda Specialty Peds; Ummc Grenda Specialty Peds
NPI enumeratedSeptember 21, 2016
Last updated in NPPESSeptember 18, 2018
Mailing address965 Avent Dr Ste 100b, Grenada, MS 38901-5045

Other providers in Grenada