| Organization Name: | U.S. DEPARTMENT OF VETERANS AFFAIRS |
| NPI Number: | 1831495415 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TRYPHENA HUBBARD ELLIS (SOCIAL WORKER) |
| Mailing Address: | 400 Veterans Ave T100 (social Work) Biloxi |
| State: | MS US |
| Postal Code: | 395312410 |
| Phone Number: | 2285234550 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2011 |
| NPI Last Update Date: | 01/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 286500000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Military Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A health care facility operated by the Department of Defense. |