Organization
NORTHWEST MISS REGIONAL MEDICAL CENTER
Active
Other names
NWMRMC OPT Clinics
Organization subpart
No
Provider details
NPI number
Authorized official
LORIE TILL (CEO)
(662) 624-3480
Entity
Organization
Contact information
Practice address
1970 HOSPITAL DR, CLARKSDALE, MS 38614-7202
(662) 627-3211
(662) 624-3413
Mailing address
PO BOX 1218, CLARKSDALE, MS 38614-1218
(662) 627-3211
(662) 624-3214
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/26/2023
Last updated
01/21/2025
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