Midsouth Stat Medical Center

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MIDSOUTH STAT MEDICAL CENTER

Practice address

4078 Holly Grove Rd
Covington, TN 38019-5738

Phone

(901) 491-0741

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Bertie Lorraine Finley

Title

RN

Phone

(901) 491-0741

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bertie Lorraine Steede Finley

  • Registered Nurse
  • Brighton, TN
  • NPI 1790363810
  NPD

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1740868728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 E WOODLAWN AVE",
            "city": "BRIGHTON",
            "state": "TN",
            "postal_code": "380115738",
            "telephone_number": "888-740-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4078 HOLLY GROVE RD",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380195738",
            "telephone_number": "901-491-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH STAT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "BERTIE",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "901-491-0741"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Denise Medford, RN
• Medicone Medical Response Delta Region Inc
• Tina Mellesmoen, RN
• Craig Campbell Metcalf, FNP
• Mid-South Respiratory Care Services, LLC
• Carol A Miller
• Frank Lester Miller III
• Tyriniesha L Milton
• Ella M Mitchell
• Kailyn Mitchell

• Clinical Medical Laboratory in Covington, TN
• Providers in Covington, TN by specialty
• Clinical Medical Laboratory in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.