SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER (NPI# 1366066060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366066060 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER |
| Other Organization Name | SOUTHWEST TRANSITIONAL CARE |
| Practice Address |
300 Rawls Dr Ste 1500 Mccomb MS 39648-2878 |
| Mailing Address |
Po Box 490 Mccomb MS 39649-0490 |
| Practice Telephone | 6012504381 |
| Practice Fax Number | 6012504382 |
| Mailing Telephone | 6012504366 |
| Mailing Fax Number | 6012504367 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | CHARLA ROWLEY (CEO) |
| Authorized Official Telephone | 6012491806 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02004101 | 05 |
| Other Name | Type Code |
|---|---|
| Southwest Transitional Care | Doing Business As Name - Organization |
| 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 |
| 1245289172 | Southwest Mississippi Regional Medical Center | Clinic/Center | 1167 E Broad St, Monticello, MS 39654-7682 | 2006-05-08 |
| 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 |
300 RAWLS DR STE 1500 |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336119577 | Stuart Gross | Anesthesiology | 300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878 | 2006-01-23 |
| 1104378553 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878 | 2016-11-02 |
| 1811303670 | Jodi Waller | Nurse Practitioner | 300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878 | 2014-07-01 |
| 1770874687 | Kevin Ricks | Family Medicine | 300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878 | 2011-04-26 |
| 1942250386 | Southwest Mississippi Regional Medical Center | Clinic/Center | 300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878 | 2006-05-10 |
| 1508815713 | Marcenia Aldridge | Nurse Practitioner | 300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164085809 | Hands of Purpose Health and Wellness LLC | Clinic/Center | 220 W Georgia Ave, Mccomb, MS 39648-3222 | 2019-04-18 |
| 1366909947 | Healthcare At Home | Clinic/Center | 221 State St, Mccomb, MS 39648-3938 | 2019-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1134759780 | Family First Clinic of Hernando, Limited | Clinic/Center | 2416 Mount Pleasant Rd, Hernando, MS 38632-2001 | 2020-01-23 |
| 1720640899 | Home In The Woods Healthcare Clinic, LLC | Clinic/Center | 6572 County Road 514, Itta Bena, MS 38941-2746 | 2019-06-28 |
| 1366003436 | Blackwell's Family Medicine LLC | Clinic/Center | 107 Ball Ave, Tylertown, MS 39667-2101 | 2019-06-27 |
| 1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
| 1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
| 1316421373 | Children's International, LLC | Clinic/Center | 2003 Wildwood Rd, Picayune, MS 39466-2178 | 2018-09-17 |
| 1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
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.