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MEMORIAL HOSPITAL OF GULFPORT NPI 1669619912


NPI Information

NPI: 1669619912
Provider Name: MEMORIAL HOSPITAL OF GULFPORT

Doing Business As: PHYSICIANS CLINIC AT MHG

Classification: Urology - 208800000X
Entity Type: Organization
Address:
1340 BROAD AVE
STE 210
GULFPORT, MS
ZIP 39501
Phone: (228) 575-1600
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MEMORIAL HOSPITAL OF GULFPORT is an urology in Gulfport, MS. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MEMORIAL HOSPITAL OF GULFPORT NPI is 1669619912. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Physicians Clinic At Mhg.

The provider's business location address is:

1340 BROAD AVE
STE 210
GULFPORT, MS
ZIP 39501-404
Phone: (228) 575-1600
Fax: (228) 575-1603

The provider's authorized official is Jeff T Steiner .
The authorized official title is Vp Of Finance and has the following contact phone number (228) 865-3106.

The enumeration date for this NPI number is 1/8/2009 and was last updated on 1/3/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
106471328MEDICAIDMISSISSIPPI
2512G700480MEDICARE UPINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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