Organization Name: | HANCOCK MEDICAL HEALTH SERVICES, INC. |
NPI Number: | 1346559689 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GUY KEN SMITH (DIRECTOR OPERATIONS) |
Mailing Address: | 17000 Kapalama Rd Pass Christian |
State: | MS US |
Postal Code: | 395719761 |
Phone Number: | 2283951200 |
Fax Number: | 2283951201 |
NPI Enumeration Date: | 10/05/2010 |
NPI Last Update Date: | 04/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |