Organization
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Active
Other names
South Central Regional Medical Center- A&D
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T CANIZARO (CFO)
(601) 426-4504
Entity
Organization
Contact information
Practice address
1220 JEFFERSON ST, LAUREL, MS 39440-4355
(601) 426-4000
(601) 426-4228
Mailing address
PO BOX 607, LAUREL, MS 39441-0607
(601) 399-6103
(601) 399-6254
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
11153
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020141
BLUE CROSS
MS
Enumeration date
08/18/2006
Last updated
04/23/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up