Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Central Regional Medical Center

Organization Skilled Nursing Facility · NPI 1114923059

South Central Regional Medical Center is a Skilled Nursing Facility in Ellisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2005.

Licensed in
MS
In the registry since
2005

Practice location Address checks out

305 E Ivy St
Ellisville, MS 39437-2746
Phone: (601) 477-9381
Fax: (601) 477-9870
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 11153 (MS)

Record details

NPI number1114923059
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Canizaro — Cfo · (601) 426-4504
Other names South Central Extended Care Facility
NPI enumeratedJune 24, 2005
Last updated in NPPESNovember 16, 2007
Mailing addressPo Box 607, Laurel, MS 39441-0607

Other providers in Ellisville