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MEMORIAL HOSPITAL AT GULFPORT NPI 1255597241


NPI Information

NPI: 1255597241
Provider Name: MEMORIAL HOSPITAL AT GULFPORT

Doing Business As: PHYSICIANS CLINIC AT MHG

Classification: Internal Medicine - 207RX0202X
Entity Type: Organization

Specialization: Medical Oncology

CLIA Number: 25D0684469

Address:
1340 BROAD AVE
SUITE 270
GULFPORT, MS
ZIP 39501
Phone: (228) 575-1234
Get Directions

MEMORIAL HOSPITAL AT GULFPORT is a medical oncology internal medicine in Gulfport, MS. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. MEMORIAL HOSPITAL AT GULFPORT NPI is 1255597241. 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 270
GULFPORT, MS
ZIP 39501-404
Phone: (228) 575-1234
Fax: (228) 575-1230

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 CLIA number assigned to this NPI record is 25D0684469 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/30/2008 and was last updated on 3/25/2013.


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
1207RX0202XInternal MedicineMedical 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
1302G700865MEDICARE PINMISSISSIPPI
200387282MEDICAIDMISSISSIPPI

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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