HEAD AND NECK SURGERY CENTER LLC NPI 1508933797

NPI Information

NPI: 1508933797
Provider Name: HEAD AND NECK SURGERY CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Address: 107 MILLSAPS DR
HATTIESBURG, MS
ZIP 39402
Phone: (601) 268-5131

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NPI Details

HEAD AND NECK SURGERY CENTER, LLC is an ambulatory surgical clinic center in Hattiesburg, MS. HEAD AND NECK SURGERY CENTER, LLC NPI is 1508933797. The provider is registered as an organization entity type.

The provider's business location address is:

107 MILLSAPS DR
HATTIESBURG, MS
ZIP 39402-348
Phone: (601) 268-5131
Fax: (601) 268-5138

The provider's authorized official is Charles Edwin Guice .
The authorized official title is President and has the following contact phone number (601) 268-5131.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 2/4/2010.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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
1	490003039	MEDICARE PIN	MISSISSIPPI
2	=========	OTHER	MISSISSIPPI	H&N BCBS NUMBER
3	00770145	MEDICAID	MISSISSIPPI
4	49003039	OTHER	MISSISSIPPI	H&N RAILROAD MEDICARE NUM
5	490000003	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	H&N MEDICARE NUMBER

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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