Organization Active NPI

Regional Medical Support Center, Inc

  • Magnetic Resonance Imaging Radiologic Technologist
  • Meridian, MS
National Provider Identifier
1760429682
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
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

Updated by the provider on Oct 19, 2010

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)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00118911MedicaidMS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.