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Organization

SOUTH CENTRAL CLINICS, INC.

Active
Parent organization
SOUTH CENTRAL REGIONAL MED CTR
Other names
Ellisville Pediatric Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTH CENTRAL REGIONAL MED CTR
Authorized official
CHANCIE KREGER (DIRECTOR)
(601) 399-6152
Entity
Organization

Contact information

Practice address
1203 AVE B, SUITE 200, ELLISVILLE, MS 39437
(601) 477-3550
(601) 477-2236
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 425-7550
(601) 399-6281

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
253437
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014135
MS
Enumeration date
06/08/2006
Last updated
03/13/2026
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