Organization Name: | SINGING RIVER HEALTH SYSTEM |
NPI Number: | 1083893937 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KEVIN HOLLAND (CEO) |
Mailing Address: | 2101 Highway 90 Gautier |
State: | MS US |
Postal Code: | 395535340 |
Phone Number: | 2284978874 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2007 |
NPI Last Update Date: | 05/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |