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Contact Information

MEMORIAL HOSPITAL AT GULFPORT
1340 BROAD AVE
SUITE 140
GULFPORT, MS39501-2404
 Phone: 228-818-0563
 Fax: 228-818-0519
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for MEMORIAL HOSPITAL AT GULFPORT

NPI Number 1063663490
LBN Legal business name MEMORIAL HOSPITAL AT GULFPORT
Authorized official JEFF STEINER - (VP OF FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2008
Last updated 01/03/2011 - About 15 years ago
Identifiers
MS Medicaid 05576036
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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