Northwest Miss Regional Medical Center
Emergency Medicine in Clarksdale, MS. Organization (NPI-2).
NPI number1699468686
StatusActive
Last updated in NPPESMay 22, 2024
Details
- NPI
- 1699468686
- Entity type
- Organization (NPI-2)
- Legal business name
- Northwest Miss Regional Medical Center
- Organization subpart
- No
- Enumeration date
- May 26, 2023
- Certification date
- Dec 13, 2023
- Last updated
- May 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
Other names
- Northwest Mississippi Regional Medical Center (Doing Business As)
Practice location
1970 Hospital DrClarksdale, MS 38614-7202
Phone 662-627-3211 · Fax 662-624-3214
Mailing address
Po Box 1218Clarksdale, MS 38614-1218
Phone 662-627-3211 · Fax 662-624-3214
Authorized official
Lorie Till
Ceo
6626243463
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