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Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN EAST (CFO)
(601) 399-6144
Entity
Organization
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4000
(601) 426-4228
Mailing address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 399-6103
(601) 399-6254
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
11-153
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020141
BLUE CROSS
MS
05
—
00020141
—
MS
05
—
08759070
—
MS
05
—
09013315
—
MS
Enumeration date
06/24/2005
Last updated
07/11/2025
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