SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER


Address: 1065 E Broad St, Monticello, MS 39654-7703
Phone: 6015874051

SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER (NPI# 1992829725) 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) 1992829725
Entity Type Organization
Organization Name SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Other Organization Name LAWRENCE COUNTY HOSPITAL
Practice Address 1065 E Broad St
Monticello
MS 39654-7703
Mailing Address Po Box 788
Monticello
MS 39654-0788
Practice Telephone 6015874051
Practice Fax Number 6015870306
Mailing Telephone 6015874051
Mailing Fax Number 6015870306
Enumeration Date 2007-03-19
Last Update Date 2020-08-22
Authorized Official Name MR. ALAN SEMMES ROSS JR. (ADMINISTRATOR)
Authorized Official Telephone 6015871202
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NC0060X General Acute Care Hospital
Specialization: Critical Access
11-222 MS Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
MS 0009013475 05

Other Provider/Organization Names

Other Name Type Code
Lawrence County Hospital 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
1730303942 Southwest Mississippi Regional Medical Center Psychiatric Unit 1065 E Broad St, Monticello, MS 39654-7703 2007-04-12
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
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Taxonomy Information

Taxonomy Code 282NC0060X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Critical Access

Taxonomy Definition

Definition to come.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710983945 Indiana University Health White Memorial Hospital Inc General Acute Care Hospital 720 S 6th St, Monticello, IN 47960-8182 2005-06-22
1891798823 Monticello Big Lake Hospital Nursing Home General Acute Care Hospital 1013 Hart Blvd, Monticello, MN 55362-8575 2005-05-23
1275872772 Centracare Health System-nr LLC General Acute Care Hospital 1013 Hart Blvd, Monticello, MN 55362-8575 2013-02-05
1720292980 Wayne County Hospital, Inc. General Acute Care Hospital 166 Hospital Street, Monticello, KY 42633 2007-05-09
1316019722 Indiana University Health White Memorial Hospital Inc General Acute Care Hospital 720 S 6th St, Monticello, IN 47960-8182 2006-11-14
1669576385 Southwest Mississippi Regional Medical Center General Acute Care Hospital 1065 E Broad St, Monticello, MS 39654-7703 2006-09-12
1932211851 Southwest Mississippi Regional Medical Center General Acute Care Hospital 1065 E Broad St, Monticello, MS 39654-7703 2006-08-31
1730179847 Kirby Medical Center General Acute Care Hospital 1000 Medical Center Dr, Monticello, IL 61856-2116 2005-10-28
1427041052 Monticello-big Lake Community Hospital General Acute Care Hospital 1013 Hart Blvd, Monticello, MN 55362-8575 2005-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730566027 Bmc - Attala, LLC General Acute Care Hospital 220 Hwy. 12 West, Kosciusko, MS 39090 2015-05-06
1700284502 Cody Allen Simpson General Acute Care Hospital 401 Southcrest Cir Ste 203, Southaven, MS 38671-6719 2014-12-10
1326453648 Kings Daughters Hospital of Yazoo County, Inc General Acute Care Hospital 748 E 15 St., Yazoo City, MS 39194 2014-06-25
1003026717 Forrest County General Hospital General Acute Care Hospital 305 W Moody St, Poplarville, MS 39470 2007-05-23
1063620110 Prentiss Regional Hospital and Ecf, Inc. General Acute Care Hospital 1102 Rose St, Prentiss, MS 39474 2007-05-21
1316076524 Prentiss Regional Hospital and Ecf, Inc. General Acute Care Hospital 1102 Rose St., Prentiss, MS 39474 2007-03-05
1144339839 Simpson Community Healthcare, Inc. General Acute Care Hospital 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 2006-08-29
1821103516 Pontotoc Health Services, Inc. General Acute Care Hospital 176 S Main St, Pontotoc, MS 38863-3311 2006-08-20
1386654309 Stone County Hospital, Inc. General Acute Care Hospital 1434 Central Ave E, P O Drawer 97, Wiggins, MS 39577-9602 2006-08-09
1477563427 State of Mississippi - University of Mississippi Medical Center General Acute Care Hospital 239 Bowling Green Road, Lexington, MS 39095 2006-08-09
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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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