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GEORGE REGIONAL ER PHYSICIANS NPI 1043690936


NPI Information

NPI: 1043690936
Provider Name: GEORGE REGIONAL ER PHYSICIANS
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

CLIA Number: 25D0672386

Address:
859 WINTER ST
LUCEDALE, MS
ZIP 39452
Phone: (601) 947-3161
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GEORGE REGIONAL ER PHYSICIANS is an emergency medical services emergency medicine in Lucedale, MS. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. GEORGE REGIONAL ER PHYSICIANS NPI is 1043690936. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

859 WINTER ST
LUCEDALE, MS
ZIP 39452-603
Phone: (601) 947-3161
Fax: (601) 947-1331

The provider's authorized official is Kathy Fender .
The authorized official title is Administrator and has the following contact phone number (601) 947-8181.

The CLIA number assigned to this NPI record is 25D0672386 - hospital with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/4/2015 and was last updated on 11/7/2016.


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
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

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
1423780MEDICARE PINMISSISSIPPI
201839854MEDICAIDMISSISSIPPI

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.