Active NPI
Regional Medical Support Center, Inc
- Magnetic Resonance Imaging Radiologic Technologist
- Meridian, MS
National Provider Identifier
1760429682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- Legal business name
- REGIONAL MEDICAL SUPPORT CENTER, INC
- Practice address
- 2115 13TH St
Meridian, MS 39301-4045 - Phone
- (601) 485-2485
- Fax
- (601) 483-8851
- NPI assigned
- May 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fred A Smith
- Title
- Executive Officer
- Phone
- (601) 485-2485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | Primary |
Addresses
Primary practice location
2115 13TH St
Meridian, MS 39301-4045
Mailing address
PO Box 5107
Meridian, MS 39302-5107
Phone (601) 485-2485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00118911 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
2115 13th St
Meridian, MS 39301
Phone (601) 485-2485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1760429682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5107",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393025107",
"telephone_number": "601-485-2485",
"fax_number": "601-483-8851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 13TH ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393014045",
"telephone_number": "601-485-2485",
"fax_number": "601-483-8851"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGIONAL MEDICAL SUPPORT CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "EXECUTIVE OFFICER",
"authorized_official_telephone_number": "601-485-2485"
},
"taxonomies": [
{
"code": "2471M1202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00118911",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.