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DSH250097 SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
SOUTHWEST MISSISSIPPI REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH250097
Medicare Provider Number
250097
Additional Details
Current Program Status
Active
Registration Date
8/29/2005
Participating Start Date
9/9/2005
Participating Approval Date
8/31/2005
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
Southwest Mississippi Regional Medical Center
Robert Cornelius Weathersby, Chief Operating Officer
(601) 249-1882
Primary Contact
Southwest Mississippi Regional Medical Center
Henry Albert Wood, Assistant Director
(601) 250-4329
Addresses
Street Address
215 MARION AVE.
MCCOMB, MS 39648-2705
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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