BOSWELL REGIONAL CENTER — NPI 1043239916 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in MEADVILLE, MS)

CMS-1500 Box 24J / 33a • NPI

1043239916

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QD1600X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

445 MAIN ST E, MEADVILLE, MS, 39653-9293

✓ 9-Digit EDI 837 ZIP+4 (39653-9293)

Practice Phone & Referral Fax

(601) 384-1583

Fax: (601) 384-1585

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043239916 (BOSWELL REGIONAL CENTER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1043239916` (NPI-2 Organization / Facility)
Provider / Legal Name	BOSWELL REGIONAL CENTER
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QD1600X` (Clinic/Center, Developmental Disabilities)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	445 MAIN ST E, MEADVILLE, MS, 39653-9293
Practice Telephone / Fax	Tel: (601) 384-1583 \| Fax: (601) 384-1585
Administrative Mailing Address	PO BOX 128, MAGEE, MS, 39111-0128
Enumeration & Last Sync	Enumerated: 2006-07-19 \| CMS Record Updated: 2020-08-22
Authorized Official	RAYMOND JOHNSON (Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

445 MAIN ST E, MEADVILLE, MS, 39653-9293

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Plain-English Taxonomy & CMS Crosswalk (261QD1600X)

What Does Taxonomy Code 261QD1600X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QD1600X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BOSWELL REGIONAL CENTER)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QD1600X` — Clinic/Center, Developmental Disabilities Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: MS \| License: `BOS-BMR` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BOSWELL REGIONAL CENTER (NPI #1043239916)