SOUTHERN MS HEART CENTERPA NPI 1306062641

NPI Information

  • NPI: 1306062641
  • Provider Name: SOUTHERN MS HEART CENTER,PA
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • CLIA Number: 25D0939850
  • Address: 3704 BIENVILLE BLVD STE B
    OCEAN SPRINGS, MS
    ZIP 39564
  • Phone: (228) 872-4040

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NPI Details

SOUTHERN MS HEART CENTER,PA is a cardiovascular disease internal medicine in Ocean Springs, MS. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. SOUTHERN MS HEART CENTER,PA NPI is 1306062641. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3704 BIENVILLE BLVD STE B
OCEAN SPRINGS, MS
ZIP 39564-710
Phone: (228) 872-4040
Fax: (228) 872-3612

The provider's authorized official is Rhonda Boney .
The authorized official title is Office Manager and has the following contact phone number (228) 872-4040.

The CLIA number assigned to this NPI record is 25D0939850 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 2/10/2022.

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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
109014546MEDICAIDMISSISSIPPI

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: 3/30/2025

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