Metroplex Center, LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

METROPLEX CENTER, LLC

Practice address

312 Green St
Hattiesburg, MS 39401-3758

Phone

(601) 583-3387

NPI assigned

Apr 11, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rose M Harrell

Title

Owner

Phone

(601) 583-3387

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1093071300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 GREEN ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013758",
            "telephone_number": "601-583-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GREEN ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013758",
            "telephone_number": "601-583-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPLEX CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-583-3387",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00230284",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Mesquita
• Diana R Mesrobian, LCSW
• Thomas S Messer Jr., MD
• James Allen Mestayer II, PHARMACIST
• Metro Medical Supply Company LLC
• Katherine Anderson Meyers, PA
• John Micka
• Middleton & Belknap Pediatric Dentistry PLLC
• Andrew Scott Middleton, DMD
• Ashunte Middleton

• PACE Provider Organization in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• PACE Provider Organization in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.