Ummc Grenda Specialty Peds - Medicare Primary Care in Grenada, MS

Ummc Grenda Specialty Peds is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Grenada, Mississippi. The current practice location for Ummc Grenda Specialty Peds is 965 Avent Dr Ste 100b, Grenada, Mississippi. For appointments, you can reach them via phone at (662) 227-7172. The mailing address for Ummc Grenda Specialty Peds is 965 Avent Dr Ste 100b, Grenada, Mississippi and phone number is (662) 227-7172.

Ummc Grenda Specialty Peds is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1578011417. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (662) 227-7172.

Contact Information

Ummc Grenda Specialty Peds
965 Avent Dr Ste 100b
Grenada
MS 38901-5045
(662) 227-7172
Not Available

Primary Care Clinic Profile

Full NameUmmc Grenda Specialty Peds
SpecialityClinic/Center
Location965 Avent Dr Ste 100b, Grenada, Mississippi
Authorized Official Name and PositionScott Whittemore (CFO GRENADA/HOLMES COUNTY)
Authorized Official Contact6622277172
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ummc Grenda Specialty Peds
965 Avent Dr Ste 100b
Grenada
MS 38901-5045

Ph: (662) 227-7172
Ummc Grenda Specialty Peds
965 Avent Dr Ste 100b
Grenada
MS 38901-5045

Ph: (662) 227-7172

NPI Details:

NPI Number1578011417
Provider Enumeration Date09/21/2016
Last Update Date09/18/2018

Medicare PECOS Information:

Medicare PECOS PAC ID1850293036
Medicare Enrollment IDO20170831002693

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Medical Identifiers

Medical identifiers for Ummc Grenda Specialty Peds such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578011417NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (Not Available))Primary
282NR1301XGeneral Acute Care Hospital - Rural (* (Not Available))Secondary

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Clinic/Center in Grenada, MS

Woman's Health Clinic Of Grenada, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1401 Oak St, Grenada, MS 38901
Phone: 662-226-4010    Fax: 662-226-4495
Grenada Specialty Clinic - Terry Pummer
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 965 Avent Dr Ste 100a, Grenada, MS 38901
Phone: 662-227-7444    Fax: 662-227-7443
Grenada Primary Care Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 965 Avent Dr Ste 105, Grenada, MS 38901
Phone: 662-227-7575    
Grenada Primary Care Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 965 Avent Dr Ste 105, Grenada, MS 38901
Phone: 662-227-7575    
Grenada Diagnostic Radiology
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1300 Sunset Dr, Suite U, Grenada, MS 38901
Phone: 662-226-9279    Fax: 662-226-9779
Grenada Lake Inpatient Medicine Associates
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 960 J K Avent Dr, Grenada, MS 38901
Phone: 662-227-7492    Fax: 662-227-7541
Mcgehee Family Health Clinic, P.a.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 100 E Monroe St, Grenada, MS 38901
Phone: 662-417-1710    

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