SOUTH CENTRAL REGIONAL MEDICAL CENTER (NPI# 1629058094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629058094 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL REGIONAL MEDICAL CENTER |
| Other Organization Name | EMSERV AMBULANCE SERVICE |
| Practice Address |
23 Mason St Laurel MS 39440-4437 |
| Mailing Address |
Po Box 869 Laurel MS 39441-0869 |
| Practice Telephone | 6013990528 |
| Practice Fax Number | 6014257541 |
| Mailing Telephone | 6013990528 |
| Mailing Fax Number | 6014257541 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2008-04-23 |
| Authorized Official Name | MR. RORY M. DILL (OPERATIONS COORDINATOR) |
| Authorized Official Telephone | 6013990528 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 160 | MS | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00050680 | 05 |
| Other Name | Type Code |
|---|---|
| EMServ Ambulance Service | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1730121088 | South Central Regional Medical Center | Nursing Facility/Intermediate Care Facility | 1100 West Dr, Laurel, MS 39440-4730 | 2006-06-12 |
| 1437199213 | South Central Regional Medical Center | Skilled Nursing Facility | 683 County Home Rd, Ellisville, MS 39437-8455 | 2006-06-08 |
| 1609813757 | South Central Regional Medical Center | Obstetrics & Gynecology | 203 S 12th Ave, Laurel, MS 39440-4324 | 2006-05-31 |
| 1093790404 | South Central Regional Medical Center | Home Health | 2260 Us Highway 15 North, Laurel, MS 39440-1521 | 2005-12-08 |
| 1114923059 | South Central Regional Medical Center | Skilled Nursing Facility | 305 E Ivy St, Ellisville, MS 39437-2746 | 2005-06-24 |
| 1619973542 | South Central Regional Medical Center | General Acute Care Hospital | 1220 Jefferson St, Laurel, MS 39440-4355 | 2005-06-24 |
| 1134762610 | South Central Regional Medical Center | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2019-10-28 |
| 1114353539 | South Central Regional Medical Center | Dermatology | 920 Matthew Dr, Suite 8, Waynesboro, MS 39367-2553 | 2013-09-17 |
| 1023358132 | South Central Regional Medical Center | Radiology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2013-02-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTH CENTRAL REGIONAL MEDICAL CENTER, INC | 1220 Jefferson St, Laurel, MS 39440-4355 |
| Street Address |
23 MASON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568007045 | Natalie Day Gibbes | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2019-11-08 |
| 1003466210 | Kirk L Landrum | Specialist/Technologist | 23 Mason St, Laurel, MS 39440-4437 | 2019-09-19 |
| 1114141975 | Sherri Leigh Forehand | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-04-12 |
| 1609994086 | Lydia S. Mitchell | Occupational Therapy Assistant | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-26 |
| 1326165093 | Carrie Elizabeth Freeman | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-26 |
| 1871619528 | Marsha Diane Boyd | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-22 |
| 1124143185 | Ashley C Shoemaker | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39441 | 2007-03-20 |
| 1457476467 | Chanelle Alis Cooley | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-20 |
| 1427181411 | Jessica Rose Braddock | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-13 |
| 1225160591 | Alexandra Carter O'neal | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437306271 | Laurel Volunteer Rescue Squad | Ambulance | 14910 Bowie Rd, Laurel, MD 20707-4649 | 2008-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992289573 | A & G Transit Services LLC | Ambulance | 20371 Citation, Gulfport, MS 39503-5582 | 2018-09-20 |
| 1528596814 | Lifeguard Ambulance Service LLC | Ambulance | 543 Highway 6 W, Batesville, MS 38606-9519 | 2017-05-31 |
| 1578009155 | First-line LLC | Ambulance | 2354 Union Rd, Walnut Grove, MS 39189-5189 | 2017-01-06 |
| 1760831630 | Lifeguard Ambulance Service LLC | Ambulance | 630 Purvis Oloh Rd, Purvis, MS 39475-4284 | 2016-06-10 |
| 1295108306 | American Medical Response of Tennessee, Inc. | Ambulance | 1986 Goodman Rd W, Horn Lake, MS 38637-1415 | 2015-11-11 |
| 1841688371 | Jose Oakley | Ambulance | 224a Motor Scooter Dr, Nesbit, MS 38651-9229 | 2015-01-06 |
| 1760764260 | Mississippi Ambulance Service | Ambulance | 11545 Old Highway 49, Gulfport, MS 39503-2654 | 2011-09-12 |
| 1215113956 | Desoto County Office of Board of Supervisors | Ambulance | 6085 Highway 161, Walls, MS 38680-9793 | 2008-01-11 |
| 1639231822 | Transcare Transportation Inc | Ambulance | 210 Alcorn Dr, Corinth, MS 38834-9701 | 2006-12-14 |
| 1447340575 | Paratech Ems, Inc. | Ambulance | 111 East Church St, Quitman, MS 39355-0001 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH CENTRAL 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.