NPIMap

Organization Active NPI

Southwest Mississippi Regional Medical Center

Doing business as Lawrence County Hospital

  • Critical Access Hospital
  • Monticello, MS
National Provider Identifier
1992829725
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
11-222 Issued in MS
Legal business name
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Doing business as
Lawrence County Hospital
Practice address
1065 E Broad St
Monticello, MS 39654-7703
Phone
(601) 587-4051
Fax
(601) 587-0306
NPI assigned
Mar 19, 2007
Last updated
Nov 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Authorized official

Name
Mrs. Charla Rowley
Title
Ceo
Phone
(601) 249-1806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 11-222 MS Primary

Addresses

Primary practice location

1065 E Broad St
Monticello, MS 39654-7703

Mailing address

PO Box 788
Monticello, MS 39654-0788
Phone (601) 587-4051

Other identifiers 1

IdentifierTypeStateIssuer
0009013475MedicaidMS

Other names 1

  • Lawrence County Hospital Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smrmc Dba SW Internal M35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

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

View all 34

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1992829725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396540788",
            "telephone_number": "601-587-4051",
            "fax_number": "601-587-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 E BROAD ST",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396547703",
            "telephone_number": "601-587-4051",
            "fax_number": "601-587-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "ROWLEY",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-249-1806",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "MS",
            "license": "11-222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009013475",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lawrence County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.