SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER (NPI# 1912121120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912121120 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER |
| Other Organization Name | S M R M C INPATIENT REHAB |
| Practice Address |
215 Marion Ave Mccomb MS 39648-2705 |
| Mailing Address |
Po Box 1307 Mccomb MS 39649-1307 |
| Practice Telephone | 6012495500 |
| Practice Fax Number | 6012491709 |
| Mailing Telephone | 6012495500 |
| Mailing Fax Number | 6012491709 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. NORMAN PRICE (CEO) |
| Authorized Official Telephone | 6012495500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 11-251 | MS | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00020207 | 05 |
| Other Name | Type Code |
|---|---|
| S M R M C Inpatient Rehab | 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 |
| 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 |
| Street Address |
215 MARION AVE |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699759704 | Ronald Jack Morgan | Family Medicine | 215 Marion Ave, Mccomb, MS 39648 | 2005-12-01 |
| 1831799022 | Carrie Lee Fernald | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2020-10-28 |
| 1366082778 | Malinda F Donald | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2020-01-14 |
| 1477195972 | Relias Emergency Medicine Specialists of Mccomb, LLC | Emergency Medicine | 215 Marion Ave, Mccomb, MS 39648-2705 | 2019-10-16 |
| 1962968040 | John Mark Irby | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2019-02-14 |
| 1326524869 | Jarrod P Fontenelle | Nurse Anesthetist, Certified Registered | 215 Marion Ave, Mccomb, MS 39648-2705 | 2018-07-18 |
| 1326556424 | Will G. Stevens | Nurse Anesthetist, Certified Registered | 215 Marion Ave, Mccomb, MS 39648-2705 | 2018-01-11 |
| 1871013615 | Southwest Mississippi Regional Medical Center | Obstetrics & Gynecology | 215 Marion Ave, Mccomb, MS 39648-2705 | 2017-06-22 |
| 1225578396 | Megan Jackson Jarancik | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2017-03-08 |
| 1720530298 | Proxsys Rx - Rush LLC | Pharmacy | 215 Marion Ave, Suite 200, Mccomb, MS 39648-2705 | 2016-10-31 |
| Find all providers in the same location | ||||
| 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 | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003375411 | Neuro Rehabcare-tass | Rehabilitation Unit | 512 Harmony Road, Crystal Springs, MS 39059 | 2019-03-15 |
| 1851501308 | Elliott Temple Fleming | Rehabilitation Unit | Riley Memorial Hospital, 1102 Constitution Ave, Meridian, MS 39301-7170 | 2007-05-23 |
| 1881620649 | Natchez Regional Medical Center | Rehabilitation Unit | 54 Seargent S Prentiss Dr, Natchez, MS 39120 | 2006-06-24 |
| 1083013478 | Natchez Hospital Company LLC | Rehabilitation Unit | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2014-08-21 |
| 1114223880 | Anderson Regional Medical Center | Rehabilitation Unit | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2011-01-28 |
| 1245369255 | Memorial Hospital At Gulfport | Rehabilitation Unit | 4500 13th St, Gulfport, MS 39501-2515 | 2007-03-05 |
| 1942359765 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Rehabilitation Unit | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2007-01-10 |
| 1225116486 | Singing River Health System | Rehabilitation Unit | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2006-11-02 |
| 1760567168 | Delta Regional Medical Center | Rehabilitation Unit | 1400 E Union St, Greenville, MS 38703-3246 | 2006-10-25 |
| 1225125859 | Baptist Memorial Hospital North Mississippi, Inc | Rehabilitation Unit | 1100 Belk Blvd, Oxford, MS 38655-5242 | 2006-10-06 |
| 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.