Provider Type Icon

MEMORIAL HOSPITAL AT GULFPORT NPI 1881021350


NPI Information

NPI: 1881021350
Provider Name: MEMORIAL HOSPITAL AT GULFPORT
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 25D0693843

Address:
5120 BEATLINE RD
LONG BEACH, MS
ZIP 39560
Phone: (228) 868-4287
Get Directions

MEMORIAL HOSPITAL AT GULFPORT is a family medicine in Long Beach, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEMORIAL HOSPITAL AT GULFPORT NPI is 1881021350. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5120 BEATLINE RD
LONG BEACH, MS
ZIP 39560-815
Phone: (228) 868-4287
Fax: (228) 868-4293

The provider's authorized official is Peggy Lorraine Noonan .
The authorized official title is Physician Business Services Dir. and has the following contact phone number (228) 575-1740.

The CLIA number assigned to this NPI record is 25D0693843 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/30/2013 and was last updated on 1/9/2024.


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
1207R00000XInternal MedicineNo
2363L00000XNurse PractitionerNo
3207Q00000XFamily MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.