SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER (NPI# 1861442873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861442873 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER |
| Other Organization Name | BOGUE CHITTO FAMILY PRACTICE |
| Practice Address |
28 Bogue Chitto Rd Sw Bogue Chitto MS 39629-9488 |
| Mailing Address |
0028 Borue Chitto Road Bogue Chitto MS 39657 |
| Practice Telephone | 6017346630 |
| Practice Fax Number | 6012492226 |
| Mailing Telephone | 6017346630 |
| Mailing Fax Number | 6012492226 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2008-01-25 |
| Authorized Official Name | MR. DAVID SINCLAIR (DIRECTOR) |
| Authorized Official Telephone | 6012492701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05934826 | 05 |
| Other Name | Type Code |
|---|---|
| BOGUE CHITTO FAMILY PRACTICE | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1982174488 | Southwest Mississippi Regional Medical Center | Obstetrics & Gynecology | 1015 Delaware Ave Ste B, Mccomb, MS 39648-3827 | 2018-11-28 |
| Street Address |
28 BOGUE CHITTO RD SW |
| City | BOGUE CHITTO |
| State | MS |
| Zip Code | 39629-9488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033342134 | Family Health Care Clinic, Inc. | Clinic/Center | 2506 Highway 51 Se, Bogue Chitto, MS 39629 | 2009-08-24 |
| 1710469580 | Sarabeth Hall | Nurse Practitioner | 2503 Wallace Dr Sw, Bogue Chitto, MS 39629-5151 | 2018-08-29 |
| 1366455909 | Nancy Carole Bass | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-08-14 |
| 1083065775 | Sarah Guthrie | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2016-06-24 |
| 1841493517 | Melissa D Boerner | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2007-06-08 |
| 1932329661 | Desiree Thibodeaux | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2007-04-26 |
| 1043439565 | Rachel Kennedy Powell | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2007-04-24 |
| 1316000961 | Beverly N Ray | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-12-18 |
| 1073676623 | Speech Pathology Associates, Inc. | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-12-18 |
| 1376628321 | Jo Ann Mc Kenzie Spears | Speech-Language Pathologist | 20 The Rays Trl Se, Bogue Chitto, MS 39629-8500 | 2006-10-26 |
| Find all providers in zip 39629 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786120 | Ochsner Medical Center - Hancock, LLC | Clinic/Center | 2274 Highway 43 S Ste 200, Picayune, MS 39466-8141 | 2020-10-08 |
| 1306460282 | Covington County Hospital | Clinic/Center | 105 Eaton St, Taylorsville, MS 39168-5614 | 2020-06-05 |
| 1871117747 | Covington County Hospital | Clinic/Center | 1039 Highway 42 Ste C, Sumrall, MS 39482-4478 | 2020-06-05 |
| 1194365338 | Bounds Family Medical | Clinic/Center | 870 Main St Ste A, Fayette, MS 39069-5695 | 2020-01-15 |
| 1720649577 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 19 Third St, Belmont, MS 38827 | 2019-06-24 |
| 1255999611 | Boa Vida Hospital of Aberdeen, Ms LLC | Clinic/Center | 400 3rd Ave 32 West, New Houlka, MS 38850 | 2019-05-31 |
| 1598238545 | South Sunflower County Hospital | Clinic/Center | 1001 West Delta, Moorhead, MS 38761 | 2019-01-02 |
| 1790272185 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 670 Ms-178, Suite 5, Sherman, MS 38869 | 2018-04-20 |
| 1124515515 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 2200 5th St N, Columbus, MS 39705-2212 | 2018-04-20 |
| 1205323698 | Boa Vida Hospital of Aberdeen, Ms, LLC | Clinic/Center | 815 2nd Ave N, Columbus, MS 39701-4703 | 2018-04-20 |
| Find all providers with the same taxonomy | ||||
| City | BOGUE CHITTO |
| Zip Code | 39629 |
Please comment or provide details below to improve the information on SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER.
| 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.