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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 Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
Indicates primary specialty

NPI Profile & details for SOUTH CENTRAL CLINICS, INC.

NPI Number 1427098003
LBN Legal business name SOUTH CENTRAL CLINICS, INC.
Authorized official CHANCIE KREGER - (DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/08/2006
Last updated 03/13/2026 - About 3 months ago
Identifiers
MS License # 253437
MS Medicaid 09014135
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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