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MEMORIAL HOSPITAL AT GULFPORT NPI 1528372240


NPI Information

NPI: 1528372240
Provider Name: MEMORIAL HOSPITAL AT GULFPORT

Doing Business As: PHYSICIANS CLINIC AT MHG

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
4300 W RAILROAD ST
SUITE B
GULFPORT, MS
ZIP 39501
Phone: (228) 864-0854
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MEMORIAL HOSPITAL AT GULFPORT is a nephrology internal medicine in Gulfport, MS. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. MEMORIAL HOSPITAL AT GULFPORT NPI is 1528372240. 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:

4300 W RAILROAD ST
SUITE B
GULFPORT, MS
ZIP 39501-568
Phone: (228) 864-0854
Fax: (228) 865-1457

The provider's authorized official is Jeff T Steiner .
The authorized official title is Vp Finance and has the following contact phone number (228) 865-3106.

The enumeration date for this NPI number is 8/5/2010 and was last updated on 1/3/2011.


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
1207RN0300XInternal MedicineNephrologyYes

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
109014571MEDICAIDMISSISSIPPI
2302G700865MEDICARE PINMISSISSIPPI

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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