OrganizationActive
Community Medical Center
NPI 1194734913 · Rural Health Clinic/Center · Lucedale, MS
Provider details
- NPI number
- 1194734913
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Rutledge, Billing Manager(601) 947-1330
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
92 W Ratliff Street
Lucedale, MS 39452-6537
Phone: (601) 947-8181
Fax: (601) 947-4411
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1007
Lucedale, MS 39452-1007
Registry dates
- Enumerated
- 2006-08-08
- Last updated
- 2020-02-04
- Certified
- 2020-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.