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COMMUNITY MEDICAL CENTER
NPI 1194734913
Clinic/Center - Rural Health in Lucedale, MS

Active since August 08, 2006CLIA 25D0672385 · Waiver
92 W RATLIFF STREET, LUCEDALE, MS 39452(601) 947-8181(601) 947-4411 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community Medical Center NPPES

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

COMMUNITY MEDICAL CENTER (NPI 1194734913) is a healthcare organization registered as a rural health in Lucedale, Mississippi and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Susan Rutledge, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1194734913
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOMMUNITY MEDICAL CENTER
Location Address92 W RATLIFF STREETLucedale, MS 39452-6537
Mailing AddressPo Box 1007Lucedale, MS 39452-1007 · (601) 947-8181 · Fax (601) 947-1331
Phone(601) 947-8181
Fax(601) 947-4411
Organization SubpartNo
Authorized OfficialSusan RutledgeBilling Manager · (601) 947-1330
Enumeration DateAugust 8, 2006
Last NPPES UpdateFebruary 4, 2020
✔ NPI 1194734913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
92 W RATLIFF STREET, Lucedale, MS 39452
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Other Identifiers 3

OtherC00960MS · Medicare Cahaba
Medicaid09013891MS
OtherCN0018MS · Railroad Medicare/other

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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 25D0672385

Community Medical Center Lab · Lucedale, MS
Active · expires Nov 14, 2027
CLIA Number25D0672385
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorLarry A. Henderson
Laboratory Phone(601) 947-8181
Laboratory LocationCommunity Medical Center Lab92 West Ratliff Street, Suite A, Lucedale, MS 39452
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Community Medical Center's NPI number?

The NPI number for Community Medical Center is 1194734913. It was assigned to this organization in the NPPES registry on August 8, 2006.

Where is Community Medical Center located?

Community Medical Center is located at 92 W Ratliff Street, Lucedale, MS 39452. The listed phone number is (601) 947-8181.

What is Community Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Community Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D0672385) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Community Medical Center accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Community Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Community Medical Center was last updated on February 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.