UMC MEDICAL MALL
NPI 1194930693
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Jackson, MS
About Umc Medical Mall NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UMC MEDICAL MALL (NPI 1194930693) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Jackson, Mississippi and active in the NPI registry since May 2007. The organization lists William Kennedy, Associate Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
JACKSON, MS 39213
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is State Of Mississippi- University Of Mississippi Medical Center's NPI number?
The NPI number for State Of Mississippi- University Of Mississippi Medical Center is 1194930693. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider is doing business as Umc Medical Mall.
Where is State Of Mississippi- University Of Mississippi Medical Center located?
State Of Mississippi- University Of Mississippi Medical Center is located at 350 W Woodrow Wilson Ave Suite 479, Jackson, MS 39213. The listed phone number is (601) 815-6350.
What is State Of Mississippi- University Of Mississippi Medical Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.
What insurance does State Of Mississippi- University Of Mississippi Medical Center accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list State Of Mississippi- University Of Mississippi Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for State Of Mississippi- University Of Mississippi Medical Center was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Umc Medical Mall · NPI 1194930693
End-Stage Renal Disease (ESRD) Treatment organization in Jackson, Mississippi. Organization record, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1194930693 (Entity type: Organization)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Clinic/Center - End-Stage Renal Disease (ESRD) Treatment · taxonomy 261QE0700X
- **Legal business name:** State Of Mississippi- University Of Mississippi Medical Center
- **Organization subpart:** No
- **Authorized official:** William Kennedy, ASSOCIATE ADMINISTRATOR
## Practice location
- **Address:** 350 W WOODROW WILSON AVE, SUITE 479, Jackson, MS 39213-7681
- **Phone:** (601) 815-6350 · **Fax:** (601) 815-6348
## Record status
- **NPPES last updated:** October 2, 2007
- **Other identifiers:** Medicaid 20256 (MS); Medicare OSCAR/certification 253503
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Source: [NPI Profile](https://npiprofile.com/npi/1194930693) · Data from the CMS NPPES public registry.