Premier Medical Clinic

LBN: Southwest Mississippi Regional Medical Center
Premier Medical Clinic is an health care organization with primary practice located at 300 Rawls Dr Ste 600, Mccomb MS 39648-2877. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Southwest Mississippi Regional Medical Center can be contacted via phone (601) 249-4415, or through Rowley, Charla via phone (601) 249-1806.

Contact Information

Primary practice address
300 Rawls Dr Ste 600 Mccomb MS 39648-2877
Fax: (601) 249-4474
Website:
Authorized official contact:
Name: Rowley, Charla

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1962451831
LBN Legal business name Southwest Mississippi Regional Medical Center
DBA Doing business as Premier Medical Clinic
Authorized official Rowley, Charla
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Jul 13th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962451831 NPPES
Mississippi MEDICAID 07800828

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