340B Drug Pricing Program Database
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DSH250001B University of Mississippi Medical Center (Active)
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Main Details
Name
University of Mississippi Medical Center
Subdivision Name
CANCER INSTITUTE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH250001B
Medicare Provider Number
250001
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/18/2007
Participating Start Date
7/1/2004
Participating Approval Date
10/18/2007
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
University of MIssissippi Medical Center
Jeffrey Grimsley, CFO-Health System
(601) 815-6270
Primary Contact
University of Mississippi Medical Center
Kelsey H Raymer, Health System 340B Operations Director
(601) 984-2676
Addresses
Street Address
350 WEST WOODROW WILSON
JACKSON, MS 39213
Billing Address
University of Mississippi Medical Center
2500 North State Street
Jackson, MS 39216
Comments
Medicaid Billing
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