DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTH CENTRAL REGIONAL MEDICAL CENTER

MEDICARE: SOUTH CENTRAL REGIONAL MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital11-153MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000020141OTHERMSBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619973542
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH CENTRAL REGIONAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 1220 JEFFERSON ST
Second Line :
City : LAUREL
State : MS
Zip : 39440-4355
Country : US
Telephone Number : 601-399-6103
Fax Number : 601-399-6254
Provider Business Practice Location Address
First Line : 1220 JEFFERSON ST
Second Line :
City : LAUREL
State : MS
Zip : 39440-4355
Country : US
Telephone Number : 601-426-4000
Fax Number : 601-426-4228
Authorized Official
Title or Position : CFO
Name : MR. STEPHEN EAST
Credential :
Telephone Number : 601-399-6144
Provider Enumeration Date : 06/24/2005
Last Update Date : 07/11/2025

Similar Medicare Providers

1356289615 — DR. CHAUNCEY KEANO LABOO MD
Practice Location Address:
1220 JEFFERSON ST
LAUREL, MS
39440-4355
Practice Phone: 601-426-4000
Practice Fax:
1194174755 — JOSHUA M. HOLIFIELD D.O.
Practice Location Address:
1002 JEFFERSON STREET , 400
LAUREL, MS
39440-4355
Practice Phone: 601-649-7802
Practice Fax: 601-399-6184
1659310464 — SOUTH CENTRAL CLINICS, INC
Practice Location Address:
1220 JEFFERSON ST
LAUREL, MS
39440-4355
Practice Phone: 601-426-4000
Practice Fax: 601-399-6281
1902807720 — GINA H MIXON RD
Practice Location Address:
1220 JEFFERSON ST
LAUREL, MS
39440-4355
Practice Phone: 601-426-4086
Practice Fax: 601-426-4417
1720089543 — GLENDA Z MCCRAW RD
Practice Location Address:
1220 JEFFERSON ST
LAUREL, MS
39440-4355
Practice Phone: 601-426-4083
Practice Fax: 601-426-4417
1639125768 — DR. JAMES KEITH FISHER MD
Practice Location Address:
1220 JEFFERSON ST
LAUREL, MS
39440-4355
Practice Phone: 601-426-4507
Practice Fax: 601-426-4228

Directions to “SOUTH CENTRAL REGIONAL MEDICAL CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.