CLARKSDALE REGIONAL MEDICAL CENTER, INC. (NPI# 1386178721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386178721 |
| Entity Type | Organization |
| Organization Name | CLARKSDALE REGIONAL MEDICAL CENTER, INC. |
| Other Organization Name | NORTHWEST MISSISSIPPI MEDICAL CENTER |
| Practice Address |
1970 Hospital Dr Clarksdale MS 38614-7202 |
| Mailing Address |
1721 Midpark Rd Suite B200 Knoxville TN 37921-5977 |
| Practice Telephone | 6626243401 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | STEVE CLAPP (PRESIDENT) |
| Authorized Official Telephone | 8652694074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Northwest Mississippi Medical Center | Doing Business As Name - Organization |
| Street Address |
1970 HOSPITAL DR |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614-7202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346294550 | Leatrice R Cowan | Nurse Anesthetist, Certified Registered | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2006-05-20 |
| 1366042277 | Sylvester Lewis Thornton | Nurse Practitioner | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2020-10-29 |
| 1831719335 | Clarksdale Hma LLC | Clinical Medical Laboratory | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2020-04-24 |
| 1407487069 | Leah Lamb Rybolt | Nurse Practitioner | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2020-01-31 |
| 1396233755 | Clarksdale Regional Physicians, LLC | Internal Medicine | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2018-05-01 |
| 1558863852 | Clarksdale Regional Physicians, LLC | Nurse Anesthetist, Certified Registered | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2018-03-02 |
| 1710371679 | Comprehensive Hospitalists of Ms, LLC | Hospitalist | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2015-03-27 |
| 1083024558 | April Danielle Carter | Internal Medicine | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2014-05-05 |
| 1538503446 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2013-04-22 |
| 1770842130 | Aderonke Adefisayo | Pediatrics | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2012-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1205186947 | Celestial Comfort Care Hospice | Hospice Care, Community Based | 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 | 2012-09-10 |
| 1063667129 | The Smile Center of Clarksdale | Clinic/Center | 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 | 2008-11-17 |
| 1801060033 | Clarksdale Municipal School District | Local Education Agency (LEA) | Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 | 2008-04-18 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| 1497888457 | Carole L Mangrem | Pediatrics | 2245 N Starte St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers in zip 38614 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376584110 | Clarksdale Hma LLC | General Acute Care Hospital | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1013396290 | Martin Hillard Mcmullan | General Acute Care Hospital | 2350 Cooper Rd, Flowood, MS 39232-6136 | 2015-05-21 |
| 1750771580 | Genesis Rehab | General Acute Care Hospital | 438 North St, Union, MS 39365-9506 | 2015-02-02 |
| 1003229469 | Robert J Cole | General Acute Care Hospital | 601 Meadowbrook Cir, Amory, MS 38821-1314 | 2014-06-03 |
| 1295151850 | Mary A. Doss | General Acute Care Hospital | 110 Napoleon Dr, Brandon, MS 39047-9004 | 2014-03-06 |
| 1467755744 | Biloxi Regional Medical Center | General Acute Care Hospital | 1104 Homestead Blvd, Gautier, MS 39553-4612 | 2010-12-08 |
| 1528371119 | University Physicians. Pllc | General Acute Care Hospital | 121 Beaufort Cir, Madison, MS 39110-7962 | 2010-07-23 |
| 1306047436 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy4-east, Holly Springs, MS 38635 | 2007-05-29 |
| 1518168624 | Alliance Healthcare System | General Acute Care Hospital | 1430 Hwy 4 East, Holly Springs, MS 38635 | 2007-05-29 |
| 1043427206 | Alliance Healthcare System, Inc | General Acute Care Hospital | 1430 Highway 4 E, Holly Springs, MS 38635-2140 | 2007-05-17 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
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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.