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Organization

REGENCY HOSPITAL OF SOUTHERN MISSISSIPPI LLC

Active
Other names
Regency Hospital of Hattiesburg
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization

Contact information

Practice address
220 27TH AVENUE, HATTIESBURG, MS 39401-7165
(601) 288-8510
(601) 288-8525
Mailing address
4714 GETTYSBURG RD, LEGAL DPT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
(717) 975-9981

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
22-333
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07603524
MS
Enumeration date
12/12/2006
Last updated
09/08/2010
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