Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN T EAST (CFO)
(601) 399-6144
Entity
Organization
Contact information
Practice address
234 S 12TH AVE, LAUREL, MS 39440-4325
(601) 426-4000
(601) 426-4032
Mailing address
PO BOX 607, LAUREL, MS 39441-0607
(601) 426-4000
(601) 426-4032
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11153
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440336
—
MS
Enumeration date
06/27/2005
Last updated
07/11/2025
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