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Contact Information

MEMORIAL HOSPITAL AT GULFPORT
4300 LEISURE TIME DR
SUITE B
DIAMONDHEAD, MS39525-3241
 Phone: 228-255-6129
 Fax: 228-255-6431
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Rheumatology

207RR0500X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MEMORIAL HOSPITAL AT GULFPORT

NPI # 1972835619
LBN Legal business name MEMORIAL HOSPITAL AT GULFPORT
Authorized official JEFF STEINER - (VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2010
Last updated 02/07/2013 - About 13 years ago
Identifiers
MS Medicaid 02203599
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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