SCOTT REGIONAL MEDICAL CENTER, INC. (NPI# 1003166117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003166117 |
| Entity Type | Organization |
| Organization Name | SCOTT REGIONAL MEDICAL CENTER, INC. |
| Other Organization Name | CLARK MEDICAL CLINIC |
| Practice Address |
321 Hwy 13 South Morton MS 39117 |
| Mailing Address |
Po Box 2065 Meridian MS 39302-2065 |
| Practice Telephone | 6017328612 |
| Practice Fax Number | 6017321957 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017033080 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2018-02-28 |
| Authorized Official Name | DON LARKIN KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 6017039614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 176B00000X | Midwife | Other Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clark Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679831531 | Scott Regional Medical Center, Inc. | Family Medicine | 1080 Highway 35 S, Forest, MS 39074-9423 | 2012-04-30 |
| 1932478476 | Scott Regional Medical Center, Inc. | Midwife | 24489 Highway 80, Lake, MS 39092-3511 | 2011-12-28 |
| 1134278435 | Scott Regional Medical Center, Inc. | General Acute Care Hospital | 317 Highway 13 S, Morton, MS 39117-3353 | 2007-01-09 |
| 1639228547 | Scott Regional Medical Center, Inc. | Medicare Defined Swing Bed Unit | 317 Highway 13 S, Morton, MS 39117-3353 | 2007-01-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SCOTT REGIONAL MEDICAL CENTER, INC. | 1314 19th Ave, Meridian, MS 39301-4116 |
| Street Address |
321 HWY 13 SOUTH |
| City | MORTON |
| State | MS |
| Zip Code | 39117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780220343 | Rebecca S Hamilton | Technician | 1306 Lindsey Rd, 6824 Hwy 13 South, Morton, MS 39117 | 2019-11-19 |
| 1548617293 | Telehealthone LLC | Nurse Practitioner | 5186 Hwy 80, Morton, MS 39117 | 2016-05-23 |
| 1508045873 | New Outlooks Adult Day Services Inc | Homemaker | 4197 Hwy 80, Morton, MS 39117 | 2007-11-02 |
| 1578789616 | Jamie Eichelberger Ross | Dentist | 233 Woodland St, Morton, MS 39117-0019 | 2007-04-17 |
| 1851613509 | New Outlooks Adult Day Services, Inc. | Clinic/Center | 4197 Highway 80, Morton, MS 39117-3306 | 2010-02-23 |
| 1437569761 | Mississippi State Department of Health | Public Health or Welfare | 235 Highway 13 S, Morton, MS 39117-3313 | 2014-05-08 |
| 1871710715 | Cook Wholesale Co Inc | Durable Medical Equipment & Medical Supplies | 162 Highway 13 S, Morton, MS 39117-3352 | 2007-04-20 |
| 1720322027 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 321 Highway 13 South, Morton, MS 39117-3353 | 2012-11-27 |
| 1992868509 | Hospitalmd, Inc. | Internal Medicine | 317 Highway 13 S, Morton, MS 39117-3353 | 2006-12-18 |
| 1194830398 | Ruby L Lucroy | Nurse Practitioner | 321 Highway 13 S, Morton, MS 39117-3353 | 2006-08-20 |
| Find all providers in zip 39117 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902358336 | Children's International, LLC | Clinic/Center | 3016 Highway 80, Morton, MS 39117-9393 | 2016-11-02 |
| 1952694994 | Independent Healthcare Management, Inc. | Clinic/Center | 347 S 4th St, Morton, MS 39117-3407 | 2011-05-24 |
| 1982629705 | Clark Clinic, Inc | Clinic/Center | 36 Second St, Morton, MS 39117-3424 | 2006-07-13 |
| 1376917013 | Layne Schnider Cryan | Clinic/Center | 521 Adams St, Morton, WA 98356-9323 | 2015-11-18 |
| 1427310341 | Lewis County Hospital District No. 1 | Clinic/Center | 521 Adams Avenue, Morton, WA 98356-9323 | 2012-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.