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MEMORIAL HOSPITAL AT GULFPORT NPI 1073606901


NPI Information

NPI: 1073606901
Provider Name: MEMORIAL HOSPITAL AT GULFPORT
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
4500 13TH ST
GULFPORT, MS
ZIP 39501
Phone: (228) 867-3076
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MEMORIAL HOSPITAL AT GULFPORT is a general acute care hospital in Gulfport, MS. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. MEMORIAL HOSPITAL AT GULFPORT NPI is 1073606901. The provider is registered as an organization entity type.

The provider's business location address is:

4500 13TH ST
GULFPORT, MS
ZIP 39501-515
Phone: (228) 867-3076
Fax: (228) 865-3098

The provider's authorized official is Kent Nicaud .
The authorized official title is Ceo and has the following contact phone number (228) 865-3076.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 12/7/2021.


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
1282N00000XGeneral Acute Care HospitalYes

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
11731625MEDICAIDLOUISIANA
2000019027OTHERMISSISSIPPIBLUE CROSS
3000260081XMEDICAIDGEORGIA
4C00042OTHERMISSISSIPPICAHABA PROVIDER NUMBER
51943061MEDICAIDLOUISIANA
6027OTHERMISSISSIPPIBLUE CROSS BLUE SHIELD MS
700020027MEDICAIDMISSISSIPPI
8374535800OTHERMISSISSIPPIUS DEPT OF LABOR NUMBER
9CA1177OTHERMISSISSIPPIRAILROAD MEDICARE
100250019MEDICAIDTENNESSEE
111887007MEDICAIDTENNESSEE
12901382200MEDICAIDFLORIDA
13MEM0019NMEDICAIDALABAMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.