Organization Name: | HANCOCK MEDICAL CENTER |
NPI Number: | 1629380142 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD L WADE (CHIEF FINANCIAL OFFICER) |
Mailing Address: | 517 C & D, W North Street Pass Christian |
State: | MS US |
Postal Code: | 39571 |
Phone Number: | 2284678700 |
Fax Number: | 2284678799 |
NPI Enumeration Date: | 07/13/2010 |
NPI Last Update Date: | 07/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 11217 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |