SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER (NPI# 1245289172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245289172 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER |
| Other Organization Name | LAWRENCE COUNTY FAMILY PRACTICE |
| Practice Address |
1167 E Broad St Monticello MS 39654-7682 |
| Mailing Address |
Po Box 490 Mccomb MS 39649-0490 |
| Practice Telephone | 6015871433 |
| Practice Fax Number | 6015871625 |
| Mailing Telephone | 6012492701 |
| Mailing Fax Number | 6012492195 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | MRS. CHARLA ROWLEY (CEO) |
| Authorized Official Telephone | 6012491806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06870336 | 05 |
| Other Name | Type Code |
|---|---|
| LAWRENCE COUNTY FAMILY PRACTICE | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 Jefferson St S, Monticello, MS 396549580 | 6015872593 | 6015875352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1013107473 | Southwest Mississippi Regional Medical Center | Orthopaedic Surgery | 510a Highway 51 N, Brookhaven, MS 39601-2335 | 2007-07-31 |
| 1649386061 | Southwest Mississippi Regional Medical Center | Urology | 1015 Delaware Ave Ste B, Mccomb, MS 39648-3827 | 2006-08-21 |
| 1932159498 | Southwest Mississippi Regional Medical Center | Internal Medicine | 300 Rawls Dr Ste 200, Mccomb, MS 39648-2871 | 2006-05-12 |
| 1861442873 | Southwest Mississippi Regional Medical Center | Clinic/Center | 28 Bogue Chitto Rd Sw, Bogue Chitto, MS 39629-9488 | 2006-05-11 |
| 1689624090 | Southwest Mississippi Regional Medical Center | Internal Medicine | 300 Marion Ave, Suite C, Mccomb, MS 39648-2707 | 2006-05-10 |
| 1366066060 | Southwest Mississippi Regional Medical Center | Clinic/Center | 300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878 | 2020-05-29 |
| 1932721222 | Southwest Mississippi Regional Medical Center | Internal Medicine | 1065 E Broad St, Monticello, MS 39654-7703 | 2020-05-11 |
| 1144873910 | Southwest Mississippi Regional Medical Center | Obstetrics & Gynecology | 1318 Harrison Ave, Mccomb, MS 39648-2830 | 2019-07-22 |
| 1982174488 | Southwest Mississippi Regional Medical Center | Obstetrics & Gynecology | 1015 Delaware Ave Ste B, Mccomb, MS 39648-3827 | 2018-11-28 |
| Street Address |
1167 E BROAD ST |
| City | MONTICELLO |
| State | MS |
| Zip Code | 39654-7682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992324834 | Amanda Rose Smith | Nurse Practitioner | 1167 E Broad St, Monticello, MS 39654-7682 | 2020-04-10 |
| 1528086915 | Patrick Brian Wood | Family Medicine | 1167 E Broad St, Monticello, MS 39654-7682 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1457862229 | Susan Nevels | Pharmacist | 1509 Highway 84 West, Monticello, MS 39654 | 2017-10-19 |
| 1326565417 | David Warren Ready | Pharmacist | 1509 Hwy 84 West, Monticello, MS 39654 | 2017-08-29 |
| 1861664575 | James Mikel Griffith II | Physical Therapy Assistant | 314 Main St, Ste C, Monticello, MS 39654 | 2008-04-02 |
| 1811169840 | Southwest Mississippi Planning and Development District | Clinic/Center | 1477 Fe Sellers Highway, Monticello, MS 39654 | 2008-03-31 |
| 1447429089 | Foot and Wound Institute of The South | Clinic/Center | 157 Fe Sellers Highway, Monticello, MS 39654 | 2008-02-28 |
| 1346431566 | Amy Eaton Broome | Physical Therapy Assistant | 314 Main St Ste C, Monticello, MS 39654 | 2007-08-05 |
| 1881804532 | Chris Gilbert Boyd | Dentist | 716 Brookhaven Street, Monticello, MS 39654 | 2007-05-23 |
| 1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
| Find all providers in zip 39654 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043716525 | Mmc Rural Health Clinics, Pllc | Clinic/Center | 733 Roberts Drive, Monticello, AR 71655 | 2018-04-03 |
| 1851867139 | Emilee Burton Greenwood | Clinic/Center | 1215 N Main St Ste 2, Monticello, KY 42633-2900 | 2018-10-15 |
| 1558527259 | Kirby Medical Center | Clinic/Center | 1000 Medical Center Dr, Monticello, IL 61856-2116 | 2008-08-01 |
| 1700955317 | Mercy Physician Associates, Inc | Clinic/Center | 619 S Main St, Monticello, IA 52310-1733 | 2006-11-07 |
| 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 | ||||
| City | MONTICELLO |
| Zip Code | 39654 |
Please comment or provide details below to improve the information on SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER.
| 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.