Organization · Type 2 NPI

South Central Regional Medical Center

Skilled Nursing Facility · Ellisville, MS

NPI number 1114923059 Active

Practice location

305 E Ivy St
Ellisville, MS 39437-2746

Fax (601) 477-9870

Mailing address

PO Box 607
Laurel, MS 39441-0607

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X11153 (MS)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1114923059

South Central Regional Medical Center's National Provider Identifier is 1114923059, issued on Jun 24, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Ellisville, MS. The record was last updated on Nov 16, 2007.