| Organization Name: | HANCOCK MEDICAL HEALTH SERVICES, INC. |
| NPI Number: | 1700195047 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GUY KEN SMITH (DIRECTOR OPERATIONS) |
| Mailing Address: | 517 W North St Ste C&d Pass Christian |
| State: | MS US |
| Postal Code: | 395712605 |
| Phone Number: | 2284678700 |
| Fax Number: | 2284678799 |
| NPI Enumeration Date: | 10/05/2010 |
| NPI Last Update Date: | 12/10/2013 |
| 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: | |