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1174562979 NPI number — SOUTH CENTRAL REGIONAL MEDICAL CENTER

NPI Number: 1174562979
Health Care Provider/Practitioner: SOUTH CENTRAL REGIONAL MEDICAL CENTER

Information about “1174562979” NPI (SOUTH CENTRAL REGIONAL MEDICAL CENTER) exists in 1174562979 in HTML format HTML  |  1174562979 in plain Text format TXT  |  1174562979 in PDF (Portable Document Format) PDF  |  1174562979 in an XML format XML  formats.

NPI Number : 1174562979 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174562979",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SOUTH CENTRAL REGIONAL MEDICAL CENTER",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 1649",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAUREL",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39441-1649",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-426-6961",
    "MailingAddressFaxNumber": "601-426-3449",
    "FirstLinePracticeLocationAddress": "203 S 12TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAUREL",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39440",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-426-6961",
    "PracticeLocationAddressFaxNumber": "601-426-3449",
    "EnumerationDate": "06/06/2006",
    "LastUpdateDate": "12/31/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHIOCO",
    "AuthorizedOfficialFirstName": "JOHN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ASSOCIATE EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MSHA",
    "AuthorizedOfficialTelephoneNumber": "601-426-4501",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207V00000X",
        "TaxonomyName": "Obstetrics & Gynecology Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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