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MEMORIAL HOSPITAL AT GULFPORT NPI 1063663490


NPI Information

NPI: 1063663490
Provider Name: MEMORIAL HOSPITAL AT GULFPORT

Doing Business As: PHYSICIANS CLINIC AT MHG

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1340 BROAD AVE
SUITE 140
GULFPORT, MS
ZIP 39501
Phone: (228) 818-0563
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MEMORIAL HOSPITAL AT GULFPORT is a radiation oncology radiology in Gulfport, MS. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. MEMORIAL HOSPITAL AT GULFPORT NPI is 1063663490. 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
SUITE 140
GULFPORT, MS
ZIP 39501-404
Phone: (228) 818-0563
Fax: (228) 818-0519

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 10/3/2008 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1512G700454MEDICARE UPINMISSISSIPPI
205576036MEDICAIDMISSISSIPPI

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: 11/14/2023

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