Clarksdale Hma LLC
Organization Active NPI General Acute Care Hospital · Clarksdale, MS
NPI 1376584110 · NPPES record last updated Jun 21, 2019
Key facts
- NPI
- 1376584110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 16035 (MS)
- Legal business name
- CLARKSDALE HMA LLC
- Practice address
- 1970 Hospital Dr
Clarksdale, MS 38614-7202 - Phone
- (662) 627-3211
- Fax
- (662) 627-5440
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Paula Lalor
- Title
- Director/Delegated Official
- Phone
- (615) 925-4565
Practitioners 4
-
Clifford Blaylock, CRNA
-
Lula Owens Hoskins, FNP
-
Patricia Dianne Hudson, CRNA
-
Raquel Vaughan, NP
National Provider Directory
Locations
1 Hospital Dr
Clarksdale, MS 38614
Phone (601) 627-3211
785 Ohio Ave
Ste 2F
Clarksdale, MS 38614
Phone (662) 621-5081
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 16035 | MS | Yes |
Addresses
Primary practice location
1970 Hospital Dr
Clarksdale, MS 38614-7202
Mailing address
1970 Hospital Dr
Clarksdale, MS 38614-7202
Phone (662) 624-3401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00220380 | Medicaid | MS | |
| 000020315 | Other | MS | BLUE CROSS |
Other names
- Northwest Mississippi Regional Medical Center
Other providers in Clarksdale, MS
- Childrens Clinic of Clarksdale PA
- Matthew Joe Chow
- Danielle Clark
- Clarksdale Hma
- Clarksdale Hma Inc
- Clarksdale Hma LLC
- Clarksdale Hma LLC
- Clarksdale Hma LLC
- Clarksdale Hma LLC
- Clarksdale Hma LLC
All providers in Clarksdale, MS · General Acute Care Hospital in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.