Organization Name: | MEMORIAL HOSPITAL AT GULFPORT |
NPI Number: | 1053535781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY STEINER (VICE PRESIDENT OF FINANCE) |
Mailing Address: | 12057 Highway 49 Ste C Gulfport |
State: | MS US |
Postal Code: | 395033177 |
Phone Number: | 2288311140 |
Fax Number: | 2288653098 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |