UMMC GRENADA EKG/EEG SERVICES
NPI 1720419583
General Acute Care Hospital in Grenada, MS

Active since December 04, 2013CLIA 25D0317204 · Waiver
960 AVENT DR, GRENADA, MS 38901(662) 227-7000 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ummc Grenada Ekg/eeg Services NPPES

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

UMMC GRENADA EKG/EEG SERVICES (NPI 1720419583) is a healthcare organization registered as a general acute care hospital in Grenada, Mississippi and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through March 20, 2027 and lists Kevin Cook, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720419583
Entity TypeOrganization
Primary Taxonomy282N00000X
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
Organization SubpartYes
Authorized OfficialKevin CookCeo · (601) 984-4113
Enumeration DateDecember 4, 2013
Last NPPES UpdateMarch 6, 2014
NPI 1720419583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

960 AVENT DR, Grenada, MS 38901

Other Names 1

Doing Business AsUmmc Grenada Ekg/eeg Services

Other Identifiers 1

Medicare PIN333900MS

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 Waiver 25D0317204

Ummc - Grenada Women's Health Services · Grenada, MS
Active · expires Mar 20, 2027
CLIA Number25D0317204
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorDr. Lisa L. Chandler
Laboratory Phone(601) 227-7500
Laboratory LocationUmmc - Grenada Women's Health Services960 Avent Drive, 2 Main, Grenada, MS 38901
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

General Acute Care Hospital (Rural)
960 AVENT DR
GRENADA, MS 38901
Anesthesiology
960 AVENT DR
GRENADA, MS 38901
Home Health
960 AVENT DR
GRENADA, MS 38901
Skilled Nursing Facility
960 AVENT DR
GRENADA, MS 38901
Anesthesiology
960 AVENT DR
GRENADA, MS 38901
Emergency Medicine
960 AVENT DR
GRENADA, MS 38901
Emergency Medicine
960 AVENT DR
GRENADA, MS 38901
Radiology (Diagnostic Radiology)
960 AVENT DR
GRENADA, MS 38901
Psychiatric Unit
960 AVENT DR
GRENADA, MS 38901
Nurse Practitioner (Family)
960 AVENT DR
GRENADA, MS 38901
General Acute Care Hospital
960 AVENT DR
GRENADA, MS 38901
Ambulance
960 AVENT DR
GRENADA, MS 38901
General Acute Care Hospital
960 AVENT DR
GRENADA, MS 38901
Psychiatric Hospital
960 AVENT DR
GRENADA, MS 38901
Skilled Nursing Facility
960 AVENT DR
GRENADA, MS 38901
Nurse Anesthetist, Certified Registered
960 AVENT DR
GRENADA, MS 38901
Physical Therapist (Geriatrics)
960 AVENT DR
GRENADA, MS 38901
Emergency Medicine
960 AVENT DR
GRENADA, MS 38901
Nurse Practitioner (Family)
960 AVENT DR
GRENADA, MS 38901
Psychiatry & Neurology (Psychiatry)
960 AVENT DR, UMC GRENADA SENIOR CARE UNIT
GRENADA, MS 38901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720419583, enumerated as an "organization" on December 04, 2013.

The provider is located at 960 AVENT DR GRENADA, MS 38901 and the phone number is (662) 227-7000.

General Acute Care Hospital with taxonomy code 282N00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.