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UMMC GRENADA DME
NPI 1639500499
Durable Medical Equipment & Medical Supplies in Grenada, MS

Active since December 04, 2013CLIA 25D0029634 · Certificate of Compliance
960 AVENT DR, GRENADA, MS 38901(662) 227-7000 Get Directions Write a Review

NPPES record last updated: December 4, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ummc Grenada Dme NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UMMC GRENADA DME (NPI 1639500499) is a healthcare organization registered as a durable medical equipment & medical supplies in Grenada, Mississippi and active in the NPI registry since December 2013. The organization holds a CLIA Certificate of Compliance certificate valid through December 1, 2027 and lists Kevin Cook, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639500499
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSTATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Location Address960 AVENT DRGrenada, MS 38901-5230
Mailing Address960 Avent DrGrenada, MS 38901-5230 · (662) 227-7000
Phone(662) 227-7000
Organization SubpartYes
Authorized OfficialKevin CookCeo · (601) 984-4113
Enumeration DateDecember 4, 2013
✔ NPI 1639500499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
960 AVENT DR, Grenada, MS 38901
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Other Names 1

Doing Business AsUmmc Grenada Dme

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0029634

Ummc - Grenada · Grenada, MS
Active · expires Dec 1, 2027
CLIA Number25D0029634
Laboratory TypeHospital
Certificate Effective DateDecember 2, 2025
Certificate Expiration DateDecember 1, 2027
Laboratory DirectorDr. Lisa L. Chandler
Laboratory Phone(662) 227-7035
Laboratory LocationUmmc - Grenada960 Jk Avent Drive, Grenada, MS 38901
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Medicare Defined Swing Bed Unit
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
DR. SARAH KATHERINE GANTZ PANNEL D.O
Psychiatry & Neurology (Psychiatry)
960 AVENT DR, UMC GRENADA SENIOR CARE UNIT
GRENADA, MS 38901
Grenada County (662) 227-7222
DR. TARENCE E WADE MD
Emergency Medicine
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7172
GRENADA LAKE MEDICAL CENTER
Skilled Nursing Facility
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Psychiatric Hospital
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
ANDREA JEMAE COLLINS M.D.
Hospitalist
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7008
ROBERT KEITH DUBARD CRNA
Nurse Anesthetist, Certified Registered
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000
GRENADA LAKE MEDICAL CENTER
Home Health
960 AVENT DR
GRENADA, MS 38901
Grenada County (662) 227-7000

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 1639500499. It was assigned to this organization in the NPPES registry on December 4, 2013. The provider is doing business as Ummc Grenada Dme.

Where is State Of Mississippi-University Of Mississippi Medical Center located?

State Of Mississippi-University Of Mississippi Medical Center is located at 960 Avent Dr, Grenada, MS 38901. The listed phone number is (662) 227-7000.

What is State Of Mississippi-University Of Mississippi Medical Center's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does State Of Mississippi-University Of Mississippi Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0029634) is associated with this NPI, valid through December 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 December 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.