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SOUTH CENTRAL REGIONAL MEDICAL CENTER NPI 1588660336


NPI Information

NPI: 1588660336
Provider Name: SOUTH CENTRAL REGIONAL MEDICAL CENTER
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 25D2094560

Address:
234 S 12TH AVE
LAUREL, MS
ZIP 39440
Phone: (601) 426-4000
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SOUTH CENTRAL REGIONAL MEDICAL CENTER is a durable medical equipment medical supplies in Laurel, MS. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SOUTH CENTRAL REGIONAL MEDICAL CENTER NPI is 1588660336. The provider is registered as an organization entity type.

The provider's business location address is:

234 S 12TH AVE
LAUREL, MS
ZIP 39440-325
Phone: (601) 426-4000
Fax: (601) 426-4032

The provider's authorized official is James T Canizaro .
The authorized official title is Cfo and has the following contact phone number (601) 426-4396.

The CLIA number assigned to this NPI record is 25D2094560 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 10/31/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies11153MISSISSIPPIYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100440336MEDICAIDMISSISSIPPI

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: 4/28/2024

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