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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: August 16, 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
Phone(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
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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 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 1720419583. It was assigned to this organization in the NPPES registry on December 4, 2013. The provider is doing business as Ummc Grenada Ekg/Eeg Services.

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 General Acute Care Hospital with taxonomy code 282N00000X.

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

Yes. A Certificate of Waiver (number 25D0317204) is associated with this NPI, valid through March 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for State Of Mississippi-University Of Mississippi Medical Center was last updated on March 6, 2014. 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.