NPIMap

Organization Active NPI

Northwest Miss Regional Medical Center

  • Community/Retail Pharmacy
  • Clarksdale, MS
National Provider Identifier
1992480602
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NORTHWEST MISS REGIONAL MEDICAL CENTER
Practice address
1970 Hospital Dr
Clarksdale, MS 38614-7202
Phone
(662) 627-3211
NPI assigned
Jun 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Lorie Till
Title
Ceo
Phone
(662) 624-3463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1970 Hospital Dr
Clarksdale, MS 38614-7202

Mailing address

PO Box 1218
Clarksdale, MS 38614-1218
Phone (662) 627-3211

Other names 1

  • Northwest Mississippi Regional Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Ms Reg Med CT5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1992480602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386141218",
            "telephone_number": "662-627-3211"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MISS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2024-05-23",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "TILL",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-624-3463"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Mississippi Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Mississippi Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.