SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER


Address: 1065 E Broad St, Monticello, MS 39654-7703
Phone: 6012491164

SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER (NPI# 1730303942) 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) 1730303942
Entity Type Organization
Organization Name SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Other Organization Name S M RM C SENIOR LIFE
Practice Address 1065 E Broad St
Monticello
MS 39654-7703
Mailing Address Po Box 1307
Mccomb
MS 39649-1307
Practice Telephone 6012491164
Mailing Telephone 6015871164
Enumeration Date 2007-04-12
Last Update Date 2020-08-22
Authorized Official Name MR. NORMAN PRICE (CEO)
Authorized Official Telephone 6012495500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit 11-251 MS Hospital Units

Other Provider/Organization Names

Other Name Type Code
S M RM C Senior Life Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700344066 Southwest Mississippi Regional Medical Center Surgery 1065 E Broad St., Monticello, MS 39654 2019-03-06
1013107473 Southwest Mississippi Regional Medical Center Orthopaedic Surgery 510a Highway 51 N, Brookhaven, MS 39601-2335 2007-07-31
1649386061 Southwest Mississippi Regional Medical Center Urology 1015 Delaware Ave Ste B, Mccomb, MS 39648-3827 2006-08-21
1932159498 Southwest Mississippi Regional Medical Center Internal Medicine 300 Rawls Dr Ste 200, Mccomb, MS 39648-2871 2006-05-12
1861442873 Southwest Mississippi Regional Medical Center Clinic/Center 28 Bogue Chitto Rd Sw, Bogue Chitto, MS 39629-9488 2006-05-11
1689624090 Southwest Mississippi Regional Medical Center Internal Medicine 300 Marion Ave, Suite C, Mccomb, MS 39648-2707 2006-05-10
1245289172 Southwest Mississippi Regional Medical Center Clinic/Center 1167 E Broad St, Monticello, MS 39654-7682 2006-05-08
1366066060 Southwest Mississippi Regional Medical Center Clinic/Center 300 Rawls Dr Ste 1500, Mccomb, MS 39648-2878 2020-05-29
1932721222 Southwest Mississippi Regional Medical Center Internal Medicine 1065 E Broad St, Monticello, MS 39654-7703 2020-05-11
1144873910 Southwest Mississippi Regional Medical Center Obstetrics & Gynecology 1318 Harrison Ave, Mccomb, MS 39648-2830 2019-07-22

Office Location

Street Address 1065 E BROAD ST
City MONTICELLO
State MS
Zip Code 39654-7703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083726491 Becky Jan Mercier Nurse Practitioner 1065 E Broad St, Monticello, MS 39654-7703 2006-08-31
1932721222 Southwest Mississippi Regional Medical Center Internal Medicine 1065 E Broad St, Monticello, MS 39654-7703 2020-05-11
1568833580 Atwood Emergency Physicians LLC Emergency Medicine 1065 E Broad St, Monticello, MS 39654-7703 2015-10-16
1942670930 Mississippi Em-i Medical Serives PC Physician Assistant 1065 E Broad St, Monticello, MS 39654-7703 2015-10-02
1275860926 Shannon Smith Occupational Therapy Assistant 1065 E Broad St, Monticello, MS 39654-7703 2009-11-17
1316172505 Kim Lewis Physical Therapist 1065 E Broad St, Monticello, MS 39654-7703 2009-05-18
1508054404 Jack Douglas Physical Therapist 1065 E Broad St, Monticello, MS 39654-7703 2007-10-05
1992829725 Southwest Mississippi Regional Medical Center General Acute Care Hospital 1065 E Broad St, Monticello, MS 39654-7703 2007-03-19
1255422457 Southwest Ms Regional Medical Center Thoracic Surgery (Cardiothoracic Vascular Surgery) 1065 E Broad St, Monticello, MS 39654-7703 2006-09-27
1669576385 Southwest Mississippi Regional Medical Center General Acute Care Hospital 1065 E Broad St, Monticello, MS 39654-7703 2006-09-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013558824 Downhome Pharmacy, Inc. Pharmacy 606 W. Broad St, Monticello, MS 39654 2019-10-02
1700344066 Southwest Mississippi Regional Medical Center Surgery 1065 E Broad St., Monticello, MS 39654 2019-03-06
1457862229 Susan Nevels Pharmacist 1509 Highway 84 West, Monticello, MS 39654 2017-10-19
1326565417 David Warren Ready Pharmacist 1509 Hwy 84 West, Monticello, MS 39654 2017-08-29
1861664575 James Mikel Griffith II Physical Therapy Assistant 314 Main St, Ste C, Monticello, MS 39654 2008-04-02
1811169840 Southwest Mississippi Planning and Development District Clinic/Center 1477 Fe Sellers Highway, Monticello, MS 39654 2008-03-31
1447429089 Foot and Wound Institute of The South Clinic/Center 157 Fe Sellers Highway, Monticello, MS 39654 2008-02-28
1346431566 Amy Eaton Broome Physical Therapy Assistant 314 Main St Ste C, Monticello, MS 39654 2007-08-05
1881804532 Chris Gilbert Boyd Dentist 716 Brookhaven Street, Monticello, MS 39654 2007-05-23
1851463707 Brantley B. Pace Family Medicine 713 Watts St., Monticello, MS 39654 2006-11-15
Find all providers in zip 39654

Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003353202 Centracare Health System-nr LLC Psychiatric Unit 1013 Hart Blvd, Monticello, MN 55362-8575 2017-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407269756 East Mississippi State Hospital Psychiatric Unit 1401 College Dr, Meridian, MS 39307-5345 2014-06-04
1699803395 Walter Robert Jones Jr. Psychiatric Unit Hwy 468, Hudspeth Regional Center, Whitfield, MS 39193 2007-03-02
1740228881 Vicksburg Healthcare LLC Psychiatric Unit 1111 N Frontage Rd, Vicksburg, MS 39180-5102 2006-06-02
1306803481 George County Hospital Psychiatric Unit 859 Winter Steet, Lucedale, MS 39452-6603 2006-05-01
1457330995 South Mississippi State Hospital Psychiatric Unit 823 Highway 589, Purvis, MS 39475-4194 2006-01-12
1831184951 Alliance Health Center Inc Psychiatric Unit 5000 Highway 39 N, Meridian, MS 39301-1021 2005-09-14
1801414115 Singing River Gulfport Psychiatric Unit 15200 Community Rd, Gulfport, MS 39503-3085 2020-07-13
1679036313 Progressive Medical Management of Batesville LLC Psychiatric Unit 155 Keating Rd, Batesville, MS 38606-2901 2019-04-10
1689191629 Boa Vida Hospital of Aberdeen, Ms, LLC Psychiatric Unit 400 S Chestnut St, Aberdeen, MS 39730-3335 2017-08-29
1033643937 Batesville Regional Medical Center, Inc. Psychiatric Unit 303 Medical Center Dr, Batesville, MS 38606-8608 2017-04-18
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Competitor

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City MONTICELLO
Zip Code 39654

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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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