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GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC INC NPI 1184049561


NPI Information

NPI: 1184049561
Provider Name: GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
11010 DAVID ST
SUITE B
GULFPORT, MS
ZIP 39503
Phone: (228) 284-1642
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GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC is a point of service in Gulfport, MS. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC NPI is 1184049561. The provider is registered as an organization entity type.

The provider's business location address is:

11010 DAVID ST
SUITE B
GULFPORT, MS
ZIP 39503-481
Phone: (228) 284-1642
Fax: (228) 284-1643

The provider's authorized official is Shawn Xun Mei .
The authorized official title is Owner and has the following contact phone number (228) 284-1642.

The enumeration date for this NPI number is 2/21/2014 and was last updated on 2/21/2014.


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
1305S00000XPoint of ServiceBM8022149MISSISSIPPINo
2305S00000XPoint of Service18456MISSISSIPPIYes

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
1YJ8HMEDICARE 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: 4/28/2024

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