Clarksdale Hma LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLARKSDALE HMA LLC

Doing business as

Northwest Mississippi Regional Medical Center

Practice address

1970 Hospital Dr
Clarksdale, MS 38614-7202

Phone

(662) 627-3211

Fax

(662) 627-5440

NPI assigned

Apr 24, 2020

Last updated

Apr 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James P Wright

Title

VP Physician Business Services

Phone

(615) 778-1502

Specialties & licenses 1

Addresses

Other names 1

• Northwest Mississippi Regional Medical Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Clarksdale Hma Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Clarksdale Hma Inc

  dba Clarksdale Phys Svcs EKG

  • Cardiovascular Disease Physician
  • Clarksdale, MS
  • NPI 1639104094
  NPD tax ID
• Clarksdale Hma LLC

  • Specialist
  • Clarksdale, MS
  • NPI 1598955460
  NPD tax ID

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1831719335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147202",
            "telephone_number": "662-627-3211",
            "fax_number": "662-627-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSDALE HMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP PHYSICIAN BUSINESS SERVICES",
        "authorized_official_telephone_number": "615-778-1502"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Mississippi Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarksdale Hma LLC (Northwest Mississippi Regional Medical Center)
• Clarksdale Hma LLC (Clarksdale Phys Serv Anesthesia CRNA)
• Clarksdale Hma LLC (Northwest Mississippi Regional Medical Center)
• Clarksdale Hma LLC
• Clarksdale Hma LLC (Clarksdale Phys Serv ER Physicians)
• Clarksdale Hma Physican Management, LLC (Campbell Family Clinic)
• Clarksdale Hma Physician Management LLC
• Clarksdale Ms Opco LLC
• Clarksdale Ms Operating LLC (Delta Manor)
• Clarksdale Municipal School District

• Clinical Medical Laboratory in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Clinical Medical Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.