| Organization Name: | HANCOCK MEDICAL HEALTH SERVICES, INC. |
| NPI Number: | 1912216466 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GUY KEN SMITH (DIRECTOR OPERATIONS) |
| Mailing Address: | 3068 Port And Harbor Dr Bay St Louis |
| State: | MS US |
| Postal Code: | 395209306 |
| Phone Number: | 2285339000 |
| Fax Number: | 2285339003 |
| NPI Enumeration Date: | 10/01/2010 |
| NPI Last Update Date: | 05/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 11214 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |