Organization Name: | HANCOCK MEDICAL CENTER |
NPI Number: | 1003007006 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD L WADE (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 4540 Shepherd Square Suite B Diamondhead |
State: | MS US |
Postal Code: | 39525 |
Phone Number: | 2282558216 |
Fax Number: | 2282558219 |
NPI Enumeration Date: | 08/05/2007 |
NPI Last Update Date: | 10/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 11214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |