NPI Code Details Logo

NPI 1639187511

NPI 1639187511 : NATCHEZ REGIONAL MEDICAL CENTER : NATCHEZ, MS

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1639187511
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NATCHEZ REGIONAL MEDICAL CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/04/2006
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    54 SEARGENT S PRENTISS DR 
-----------------------------------------------------
    City                 |    NATCHEZ
-----------------------------------------------------
    State                |    MS
-----------------------------------------------------
    Zip                  |    39120
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    601-443-2100
-----------------------------------------------------
    Fax                  |    601-443-2885
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    54 SEARGENT S PRENTISS DR 
-----------------------------------------------------
    City                 |    NATCHEZ
-----------------------------------------------------
    State                |    MS
-----------------------------------------------------
    Zip                  |    39120
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    601-443-2100
-----------------------------------------------------
    Fax                  |    601-443-2885
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
    Name                 |    MR. JEFFREY S WESSELMAN 
-----------------------------------------------------
    Credential           |    CEO
-----------------------------------------------------
    Telephone            |    601-443-2600
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    104100000X
-----------------------------------------------------
    Taxonomy Name        |    Social Worker
-----------------------------------------------------
    License Number       |    11220
-----------------------------------------------------
    License Number State |    MS
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    367500000X
-----------------------------------------------------
    Taxonomy Name        |    Certified Registered Nurse Anesthetist
-----------------------------------------------------
    License Number       |    11220
-----------------------------------------------------
    License Number State |    MS
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.