BOSWELL REGIONAL CENTER
NPI 1043239916
Clinic/Center - Developmental Disabilities in Meadville, MS

Active since July 19, 2006CLIA 25D0029775 · Waiver
445 MAIN ST E, MEADVILLE, MS 39653(601) 384-1583(601) 384-1585 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boswell Regional Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOSWELL REGIONAL CENTER (NPI 1043239916) is a healthcare organization registered as a developmental disabilities in Meadville, Mississippi and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Raymond Johnson, Director, as its authorized official.

NPPES Registry Identity

NPI1043239916
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameBOSWELL REGIONAL CENTER
Location Address445 MAIN ST EMeadville, MS 39653-9293
Mailing AddressPo Box 128Magee, MS 39111-0128 · (601) 867-5000 · Fax (601) 849-2586
Fax(601) 384-1585
Organization SubpartNo
Authorized OfficialRaymond JohnsonDirector · (601) 867-5000
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1043239916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
License Licensed in MS · BOS-BMR
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
445 MAIN ST E, Meadville, MS 39653

Other Identifiers 1

Medicaid09015489MS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D0029775

Boswell Regional Center Clinic · Magee, MS
Active · expires Aug 31, 2026
CLIA Number25D0029775
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTeresa Windham
Laboratory Phone(601) 849-3321
Laboratory LocationBoswell Regional Center Clinic1049 Simpson Highway 149, Magee, MS 39111
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
445 MAIN ST E
MEADVILLE, MS 39653
Nurse Practitioner (Family)
445 MAIN ST E
MEADVILLE, MS 39653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boswell Regional Center's NPI number?

The NPI number for Boswell Regional Center is 1043239916. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is Boswell Regional Center located?

Boswell Regional Center is located at 445 Main St E, Meadville, MS 39653. The listed phone number is (601) 384-1583.

What is Boswell Regional Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Does Boswell Regional Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0029775) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Boswell Regional Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.