# NORTHWEST MISS REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest Mississippi Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992480602
- **Authorized official:** LORIE TILL (CEO)
- **Authorized official phone:** (662) 624-3463

## Contact information

- **Practice address:** 1970 HOSPITAL DR, CLARKSDALE, MS 38614-7202
- **Practice address phone:** (662) 627-3211
- **Mailing address:** PO BOX 1218, CLARKSDALE, MS 38614-1218
- **Mailing address phone:** (662) 627-3211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2023
- **Last updated:** 05/23/2024