SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER NPI 1124077581

NPI Information

NPI: 1124077581
Provider Name: SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER

Doing Business As: CARDIOVASCULAR INSTITUTE OF MISSISSIPPI

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
303 MARION AVE
MCCOMB, MS
ZIP 39648
Phone: (601) 249-1350
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SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER is a vascular surgery surgery in Mccomb, MS. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER NPI is 1124077581. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cardiovascular Institute Of Mississippi.

The provider's business location address is:

303 MARION AVE
MCCOMB, MS
ZIP 39648-707
Phone: (601) 249-1350
Fax: (601) 249-1339

The provider's authorized official is Charla Rowley .
The authorized official title is Ceo and has the following contact phone number (601) 249-1806.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 11/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			No
2	2086S0129X	Surgery	Vascular Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	09015786	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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