State Of Mississippi - University Of Mississippi Medical Center is a
Clinic/center - Rehabilitation based in Jackson, Mississippi. State Of Mississippi - University Of Mississippi Medical Center is licensed to practice in * (Not Available) (license number ) and their current practice location is
350 W Woodrow Wilson Ave Ste 600, Jackson, Mississippi. It can be reached at their office (for appointments etc.) via phone at
(601) 815-6700.
NPI number for State Of Mississippi - University Of Mississippi Medical Center is 1619778586 and their current mailing address is Po Box 11407, Birmingham, Alabama. State Of Mississippi - University Of Mississippi Medical Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1619778586.
Healthcare Provider's Profile
| Full Name | State Of Mississippi - University Of Mississippi Medical Center |
|---|
| Type | Facility |
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| Speciality | Clinic/center - Rehabilitation |
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| Location | 350 W Woodrow Wilson Ave Ste 600, Jackson, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619778586
- Provider Enumeration Date: 03/24/2025
- Last Update Date: 05/08/2025
Medical Identifiers
Medical identifiers for State Of Mississippi - University Of Mississippi Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619778586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. State Of Mississippi - University Of Mississippi Medical Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
State Of Mississippi - University Of Mississippi Medical Center
Po Box 11407,
Birmingham, AL 35246-2130
Ph: (601) 815-6064 | State Of Mississippi - University Of Mississippi Medical Center
350 W Woodrow Wilson Ave Ste 600,
Jackson, MS 39213-7627
Ph: (601) 815-6700 |
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