Organization
NORTHWEST MISS REGIONAL MEDICAL CENTER
Active
Parent organization
NORTHWEST MISS REGIONAL MEDICAL CENTER
Other names
NWMRMC OPT Clinic - Family Practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST MISS REGIONAL MEDICAL CENTER
Authorized official
LORIE TILL (CHIEF EXECUTIVE OFFICER)
(662) 624-3463
Entity
Organization
Contact information
Practice address
785 OHIO AVE STE 1G, CLARKSDALE, MS 38614-6213
(662) 627-2509
(662) 627-2420
Mailing address
PO BOX 1218, CLARKSDALE, MS 38614-1218
(662) 624-3467
(662) 624-3413
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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