RCG MISSISSIPPI, INC. (NPI# 1265544092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265544092 |
| Entity Type | Organization |
| Organization Name | RCG MISSISSIPPI, INC. |
| Other Organization Name | RCG CENTREVILLE |
| Practice Address |
205 E Main St Centreville MS 39631-4204 |
| Practice Telephone | 6016459099 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK FAWCETT (TREASURER) |
| Authorized Official Telephone | 7814029000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| RCG CENTREVILLE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1861894768 | Rcg Mississippi, Inc. | Clinic/Center | 3499 Bluecutt Rd, Columbus, MS 39705-1346 | 2014-09-23 |
| 1437586153 | Rcg Mississippi, Inc. | Clinic/Center | 139 N Brookmoore Dr, Columbus, MS 39705-2024 | 2013-09-27 |
| 1700056538 | Rcg Mississippi, Inc. | Clinic/Center | 16451 Us Hwy 49, Belzoni, MS 39038-3603 | 2008-03-07 |
| 1316027329 | Rcg Mississippi, Inc. | Clinic/Center | 105 Office Drive, Philadelphia, MS 39350 | 2006-10-16 |
| 1790875292 | Rcg Mississippi, Inc. | Clinic/Center | 108 D Anna Pl, Helena, AR 72342-8949 | 2006-10-13 |
| 1023120870 | Rcg Mississippi, Inc. | Clinic/Center | 1404 White St, Mccomb, MS 39648-2840 | 2006-08-31 |
| 1528170370 | Rcg Mississippi, Inc. | Clinic/Center | 2004 Carter St, Vidalia, LA 71373-3003 | 2006-08-31 |
| 1760594519 | Rcg Mississippi, Inc. | Clinic/Center | 105 Keystone Cir, Vicksburg, MS 39183-3201 | 2006-08-31 |
| Street Address |
205 E MAIN ST |
| City | CENTREVILLE |
| State | MS |
| Zip Code | 39631-4204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972159994 | Jelks Family Pharmacy, LLC | Pharmacy | 1404 Academy St, Centreville, MS 39631 | 2019-08-15 |
| 1275946162 | James Hawley | Nurse Practitioner | 260 W Main Street, Centreville, MS 39631 | 2014-06-09 |
| 1730342643 | Field Memorial Community Hospital | Internal Medicine | 270 W Main Street, Centreville, MS 39631 | 2008-07-10 |
| 1184806747 | Field Memorial Community Hospital | Nurse Practitioner | 143 West Howard St, Centreville, MS 39631 | 2007-12-05 |
| 1245528785 | Se Mississippi Emergency Physicians LLC | Emergency Medicine | 270 West Main Street, Centreville, MS 39631 | 2011-07-19 |
| 1609105014 | King Louis Chambers | Public Health or Welfare | 506 E. Main St., Suite 2a, Centreville, MS 39631 | 2009-12-14 |
| 1710016233 | James L. Jelks Jr. | Pharmacist | 149 Main St., Centreville, MS 39631-0159 | 2007-03-02 |
| 1548244262 | Wilkinson County Nursing Center LLC | Skilled Nursing Facility | 166 S Lafayette St, Centreville, MS 39631-0310 | 2005-12-06 |
| 1992024459 | David Mcinnis Berry | Emergency Medicine | 270 W. Main St., Centreville, MS 39631-0639 | 2010-05-24 |
| 1053503318 | Wilkinson County Senior Care LLC | Skilled Nursing Facility | 166 S Lafayette St, Centreville, MS 39631-3571 | 2007-08-10 |
| Find all providers in zip 39631 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1013535780 | Fresenius Medical Care Meridian Home, LLC | Clinic/Center | 2400 15th St, Meridian, MS 39301-3951 | 2020-07-09 |
| 1922631837 | Fresenius Medical Care Dogwood, LLC | Clinic/Center | 205b Belle Meade Pt, Flowood, MS 39232-3311 | 2020-02-19 |
| 1669944120 | Fresenius Medical Care Adams County Home, LLC | Clinic/Center | 151 Jefferson Davis Blvd Ste D, Natchez, MS 39120-5140 | 2018-12-21 |
| 1205334513 | Renal Care Group Tupelo, LLC | Clinic/Center | 1031 S Madison St, Tupelo, MS 38801-6309 | 2018-02-01 |
| 1801310768 | Hattiesburg Clinic, Pa | Clinic/Center | 5909 Hwy 49 S, Suite 14, Hattiesburg, MS 39402-2860 | 2017-08-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 39631 |
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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.