| Organization Name: | SOUTH CENTRAL REGIONAL MEDICAL CENTER |
| NPI Number: | 1013995380 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES T CANIZARO (VICEPRESIDENT/ CFO) |
| Mailing Address: | 2260 Us Highway 15 North Laurel |
| State: | MS US |
| Postal Code: | 394401521 |
| Phone Number: | 6014220054 |
| Fax Number: | 6013996275 |
| NPI Enumeration Date: | 01/05/2006 |
| NPI Last Update Date: | 06/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 013 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |