NPIMap

Organization Active NPI

Boswell Regional Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Magee, MS
National Provider Identifier
1346329935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
W0709411 Issued in MS
Legal business name
BOSWELL REGIONAL CENTER
Practice address
Simpson Old Hwy 49 North
Magee, MS 39111-0128
Phone
(601) 867-5000
Fax
(601) 867-5236
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Eugene Bailey, D.O.
Title
Physician
Phone
(601) 867-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X W0709411 MS Primary

Addresses

Primary practice location

Simpson Old Hwy 49 North
Magee, MS 39111-0128

Mailing address

Simpson Old Hwy 49
Magee, MS 39111-0128
Phone (601) 867-5000

Other identifiers 1

IdentifierTypeStateIssuer
0115731MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Boswell Regional Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346329935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SIMPSON OLD HWY 49",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391110128",
            "telephone_number": "601-867-5000",
            "fax_number": "601-867-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SIMPSON OLD HWY 49 NORTH",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391110128",
            "telephone_number": "601-867-5000",
            "fax_number": "601-867-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSWELL REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "601-867-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MS",
            "license": "W0709411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115731",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.