| Southwest Mississippi Regional Medical Center | |
| 
					1065 E Broad St Monticello MS 39654-7703  | |
| (601) 249-4710 | |
| (601) 249-4716 | 
| Full Name | Southwest Mississippi Regional Medical Center | 
|---|---|
| Speciality | Internal Medicine - Gastroenterology | 
| Location | 1065 E Broad St, Monticello, Mississippi | 
| Authorized Official Name and Position | Charla Rowley (CEO) | 
| Authorized Official Contact | 6012491806 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Southwest Mississippi Regional Medical Center Po Box 490 Mccomb MS 39649-0490 Ph: (601) 249-2701  | Southwest Mississippi Regional Medical Center 1065 E Broad St Monticello MS 39654-7703 Ph: (601) 249-4710  | 
| NPI Number | 1932721222 | 
|---|---|
| Provider Enumeration Date | 05/11/2020 | 
| Last Update Date | 11/06/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932721222 | NPI | - | NPPES | 
| 08520320 | Medicaid | MS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary | 
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 W Broad St, Monticello, MS 39654 Phone: 601-587-4492 Fax: 601-587-7138  | |
Bonita C. Musial Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 314 Main Street, Suite D, Monticello, MS 39654 Phone: 601-587-2785 Fax: 601-587-7799  | |
Southwest Mississippi Regional Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1167 E Broad St, Monticello, MS 39654 Phone: 601-587-1433 Fax: 601-587-1625  | |
Hattiesburg Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Courthouse Sq, Monticello, MS 39654 Phone: 601-587-0209 Fax: 601-587-0436  | |
James W Stephens Md Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 Courthouse Sq, Monticello, MS 39654 Phone: 601-587-0209 Fax: 601-587-0436  | |
Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 713 Watts St, Monticello, MS 39654 Phone: 601-587-7795  | |
Southwest Mississippi Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 F E Sellers Hwy, Monticello, MS 39654 Phone: 601-587-7405 Fax: 601-587-7407  |