SOUTH CENTRAL REGIONAL MEDICAL CENTER


Address: 203 S 12th Ave, Laurel, MS 39440-4324
Phone: 6016499904

SOUTH CENTRAL REGIONAL MEDICAL CENTER (NPI# 1609813757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609813757
Entity Type Organization
Organization Name SOUTH CENTRAL REGIONAL MEDICAL CENTER
Other Organization Name THE WOMENS CLINIC OF LAUREL
Practice Address 203 S 12th Ave
Laurel
MS 39440-4324
Mailing Address Po Box 2038
Laurel
MS 39442-2038
Practice Telephone 6016499904
Practice Fax Number 6016499903
Mailing Telephone 6016499904
Mailing Fax Number 6016499903
Enumeration Date 2006-05-31
Last Update Date 2020-08-22
Authorized Official Name MR. STEVEN W BURFORD (ASSOCIATE EXECUTIVE DIRECTOR)
Authorized Official Telephone 6014264415
Authorized Official Credential MSHA
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 07653575 05

Other Provider/Organization Names

Other Name Type Code
The Womens Clinic of Laurel Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1730121088 South Central Regional Medical Center Nursing Facility/Intermediate Care Facility 1100 West Dr, Laurel, MS 39440-4730 2006-06-12
1437199213 South Central Regional Medical Center Skilled Nursing Facility 683 County Home Rd, Ellisville, MS 39437-8455 2006-06-08
1629058094 South Central Regional Medical Center Ambulance 23 Mason St, Laurel, MS 39440-4437 2006-01-20
1093790404 South Central Regional Medical Center Home Health 2260 Us Highway 15 North, Laurel, MS 39440-1521 2005-12-08
1114923059 South Central Regional Medical Center Skilled Nursing Facility 305 E Ivy St, Ellisville, MS 39437-2746 2005-06-24
1619973542 South Central Regional Medical Center General Acute Care Hospital 1220 Jefferson St, Laurel, MS 39440-4355 2005-06-24
1134762610 South Central Regional Medical Center Internal Medicine 1203 Jefferson St, Laurel, MS 39440-4354 2019-10-28
1114353539 South Central Regional Medical Center Dermatology 920 Matthew Dr, Suite 8, Waynesboro, MS 39367-2553 2013-09-17
1023358132 South Central Regional Medical Center Radiology 1410 Jefferson St, Laurel, MS 39440-4243 2013-02-26

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SOUTH CENTRAL REGIONAL MEDICAL CENTER, INC 1220 Jefferson St, Laurel, MS 39440-4355

Office Location

Street Address 203 S 12TH AVE
City LAUREL
State MS
Zip Code 39440-4324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467783910 Sharon W Crumpton Audiologist 203 S 12th Ave, Laurel, MS 39440-4324 2010-01-22
1477724227 Jessica Hunt Smith Audiologist 203 S 12th Ave, Laurel, MS 39440-4324 2008-03-20
1457489429 Jamie Don Sisk Otolaryngology 203 S 12th Ave, Laurel, MS 39440-4324 2007-03-01
1336246446 Carl Wayne Stevens II Otolaryngology 203 S 12th Ave, Laurel, MS 39440-4324 2006-09-20
1174562979 South Central Regional Medical Center Obstetrics & Gynecology 203 S 12th Ave, Laurel, MS 39440 2006-06-06
1356380414 Heather Morris Nurse Practitioner 203 S 12th Ave, Laurel, MS 39440-4324 2006-06-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306323159 Tender Loving Care Homecare LLC Homemaker 509 Central Ave Ste 224, Laurel, MS 39440 2018-07-24
1669837910 Laurel Dental Properties Dentist 1925 Pine Belt Drive, Laurel, MS 39440 2015-12-30
1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1568721215 Terry Ratcliff Perkins Counselor 5192 Hwy 11 North, Laurel, MS 39440 2012-05-15
1437453057 Alexander Milne Home for Women Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 616 East 19th Street, Laurel, MS 39440 2010-12-23
1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
1003096785 Family Health Center, Inc Obstetrics & Gynecology 103 S. 12th Avenue, Laurel, MS 39440 2007-11-09
1669672143 Laurel Urology Clinic Pa Urology 304 S 10th Ave, Laurel, MS 39440 2007-07-23
1093912370 Tanweer Hussain Majid Surgery 1007 Jefferson Street, Laurel, MS 39440 2007-06-29
1780889923 Hattiesburg Eye Clinic, Pa Ophthalmology 1431 North 10th St, Suite 1, Laurel, MS 39440 2007-06-18
Find all providers in zip 39440

Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285272310 Saul J.e. Weinreb Md LLC Obstetrics & Gynecology 9811 Mallard Dr Ste 111, Laurel, MD 20708-3180 2019-12-19
1003096785 Family Health Center, Inc Obstetrics & Gynecology 103 S. 12th Avenue, Laurel, MS 39440 2007-11-09
1730300328 James Denver Perkins Obstetrics & Gynecology 103 South 11th Avenue, Laurel, MS 39440 2007-05-01
1649297201 Rashad N. Ali Obstetrics & Gynecology 103 South 12th Avenue, Laurel, MS 39440 2006-07-17
1053350223 Robert A Desantis Obstetrics & Gynecology 1104 W 1st St, Suite #2, Laurel, MS 39440-4357 2006-06-05
1467865006 James Keith Winstead Jr. Obstetrics & Gynecology 1008 N 15th Ave, Laurel, MS 39440 2014-06-10
1194143974 Rachel Cudworth Obstetrics & Gynecology 1008 N 15th Ave, Laurel, MS 39440 2014-03-31
1255755385 Laurel Obstetrics and Gynecology Pa Obstetrics & Gynecology 1104 W 1st St, Suite 2, Laurel, MS 39440-4357 2014-02-10
1770880445 Latoya Renee Walker Obstetrics & Gynecology 117 S 11th Ave, Laurel, MS 39440-4312 2011-02-16
1528223005 Jennifer Rebecca Roberts Obstetrics & Gynecology 1008 N 15th Ave, Laurel, MS 39440-2656 2008-07-23
Find all providers in LAUREL

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City LAUREL
Zip Code 39440

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Dataset Information

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.

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