SOUTH CENTRAL CLINIC AT WAYNE FARMS – NPI #1215282991
Clinic/Center

SOUTH CENTRAL CLINIC AT WAYNE FARMS is an AHC clinic located in LAUREL, MS. NPPES has assigned the NPI number 1215282991 to SOUTH CENTRAL CLINIC AT WAYNE FARMS on July 18, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH CENTRAL CLINIC AT WAYNE FARMS” is a dba name, the actual legal business name for this organization is SOUTH CENTRAL REGIONAL MEDICAL CENTER. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH CENTRAL CLINIC AT WAYNE FARMS below.

NPI Profile for
SOUTH CENTRAL REGIONAL MEDICAL CENTER

NPI Number
1215282991
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH CENTRAL REGIONAL MEDICAL CENTER
Doing Business As (dba): SOUTH CENTRAL CLINIC AT WAYNE FARMS
Primary location
525 WAYNE DRIVE
LAUREL, MS 39440
Phone: (601) 399-7020 Fax: (601) 399-6281
Mailing address
525 WAYNE DR.
LAUREL, MS 39440
Phone: (601) 399-7020 Fax: (601) 399-6281
Organization Subpart
No
Authorized Official
JAMES CANIZARO
VICE PRESIDENT-CFO
Phone: (601) 399-6204
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.