NPIMap

Organization Active NPI

Boswell Regional Center

  • Case Management Agency
  • Magee, MS
National Provider Identifier
1396759148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
BOS-BMR-CM-01 Issued in NU
Legal business name
BOSWELL REGIONAL CENTER
Practice address
1049 Simpson Highway 149 South
Magee, MS 39111
Phone
(601) 867-5000
Fax
(601) 849-2586
NPI assigned
Jul 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Raymond Johnson
Title
Director
Phone
(601) 867-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X BOS-BMR-CM-01 NU Primary

Addresses

Primary practice location

1049 Simpson Highway 149 South
Magee, MS 39111

Mailing address

PO Box 128
Magee, MS 39111-0128
Phone (601) 867-5000

Other identifiers 1

IdentifierTypeStateIssuer
08339029MedicaidMS

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396759148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391110128",
            "telephone_number": "601-867-5000",
            "fax_number": "601-849-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 SIMPSON HIGHWAY 149 SOUTH",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "39111",
            "telephone_number": "601-867-5000",
            "fax_number": "601-849-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSWELL REGIONAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-867-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": "BOS-BMR-CM-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08339029",
            "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.