Verification Lookup Portal
Providers for University of Mississippi Medical Center
Holmes County Hospital and Clinics
UMMC - Grenada
University Hospitals and Health System
Provider Last Name
Last name is required.
Provider First Name
First name is required.
Provider Birthdate
Birthdate is required.
Required Information
_
_
_
Requester Name
Name is required.
Requester Title
Title is required.
Requester Organization
Organization is required.
Requester Address
Address is required.
Requester City, State, Zip
City, State, Zip is required.
I agree and acknowledge that I possess a signed release and immunity statement signed by the practitioner for which I am obtaining hospital verification informaton. Such signed release and immunity holds harmless and indemnifies University of Mississippi Medical Center and individuals providing information pursuant to this request, its medical staff, board, and its directors, officers, employees, representatives and agents, and each of them from any and all claims, demands or actions with respect to all acts, including without limitation, communications, reports, recommendations, or disclosures performed or made in connection with the request for the release of information pertaining to the practitioner's affiliation with University of Mississippi Medical Center or any of its hospitals/facilities.
Search
Provider Search
Please Enter the Following Information:
Facility
Provider Last Name
Provider First Name
Provider Birthdate
Requester Name
Requester Title
Requester Organization
Requester Address
Requester City, State, Zip