National Provider Identifier Database

SOUTH CENTRAL CLINICS INC
Rural Health


Contact Information

SOUTH CENTRAL CLINICS, INC.
1203 AVE B
SUITE 200
ELLISVILLE, MS39437
Phone: 601-477-3550
Fax: 601-477-2236
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for SOUTH CENTRAL CLINICS, INC.

NPI Number 1427098003
Legal business name
LBN
SOUTH CENTRAL CLINICS, INC.
Authorized official CHANCIE KREGER - (DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 06/08/2006
Last updated 03/13/2026 - About 3 months ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 253437
  • MS Medicaid: 09014135

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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