Organization
SCOTT REGIONAL MEDICAL CENTER, INC.
Active
Other names
Ochsner Health Center- Forest
Organization subpart
No
Provider details
NPI number
Authorized official
DON LARKIN KENNEDY (REGIONAL CEO)
(601) 703-9614
Entity
Organization
Contact information
Practice address
1080 HIGHWAY 35 S, FOREST, MS 39074-9423
(601) 469-3555
(601) 469-3584
Mailing address
DEPT 3029 PO BOX 1000, MEMPHIS, TN 38148-3029
(601) 213-3010
(601) 213-3011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002838364
—
MS
Enumeration date
04/30/2012
Last updated
04/21/2023
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