Organization Name: | OCEAN SPRINGS SURGICAL AND ENDOSCOPY CENTER LLC |
NPI Number: | 1134157225 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY LYNN (FACILITY ADMINISTRATOR) |
Mailing Address: | 3301 Bienville Blvd Ocean Springs |
State: | MS US |
Postal Code: | 395644318 |
Phone Number: | 2288728854 |
Fax Number: | 2288720265 |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | 020 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |