MEMORIAL HOSPITAL AT GULFPORT (NPI# 1134779200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134779200 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL AT GULFPORT |
| Practice Address |
1434 Central Ave E Wiggins MS 39577-9602 |
| Practice Telephone | 6019286600 |
| Mailing Telephone | 6019286600 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | APRIL L LAFONTAINE (VP) |
| Authorized Official Telephone | 2288653345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| Other Name | Type Code |
|---|---|
| Memorial Stone County Ambulance Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| 1609203173 | Memorial Hospital At Gulfport | Internal Medicine | 1756 Popps Ferry Rd Ste A, Biloxi, MS 39532-2118 | 2013-09-30 |
| 1285070672 | Memorial Hospital At Gulfport | Occupational Therapist | 2781 C. T. Switzer Dr., Suite 404, Biloxi, MS 39531-4535 | 2013-05-13 |
| 1205129137 | Memorial Hospital At Gulfport | Family Medicine | 20006 Hwy 53, 7 Sunshine Place, Gulfport, MS 39503-0000 | 2011-05-25 |
| 1275848889 | Memorial Hospital At Gulfport | Internal Medicine | 4405 E Aloha Dr, Suite 1, Diamondhead, MS 39525-3380 | 2010-08-09 |
| 1649585258 | Memorial Hospital At Gulfport | Internal Medicine | 784 Vieux Marche Mall, Biloxi, MS 39530-3822 | 2010-08-09 |
| 1730411463 | Memorial Hospital At Gulfport | Pediatrics | 12259 Highway 49, Suite C, Gulfport, MS 39503-3063 | 2010-02-05 |
| 1649404435 | Memorial Hospital At Gulfport | Internal Medicine | 970 Tommy Munro Dr, Biloxi, MS 39532-2130 | 2009-05-07 |
| 1295978435 | Memorial Hospital At Gulfport | Psychiatry & Neurology | 5407 Indian Hill Blvd, Diamondhead, MS 39525-3324 | 2009-04-17 |
| 1255524211 | Memorial Hospital At Gulfport | Clinic/Center | 1340 Broad Ave Ste 220, Gulfport, MS 39501-2404 | 2007-08-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AT GULFPORT | 4500 13th St, Gulfport, MS 39501-2515 |
| Street Address |
1434 CENTRAL AVE E |
| City | WIGGINS |
| State | MS |
| Zip Code | 39577-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386654309 | Stone County Hospital, Inc. | General Acute Care Hospital | 1434 Central Ave E, P O Drawer 97, Wiggins, MS 39577-9602 | 2006-08-09 |
| 1427687060 | Autrionne D Monroe | Speech-Language Pathologist | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2020-04-06 |
| 1548817117 | Memorial Hospital At Gulfport | General Acute Care Hospital | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2019-08-19 |
| 1114481488 | Hannah Leigh Fore | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2019-01-30 |
| 1386125383 | Kendra Iesha Samuel | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2018-08-27 |
| 1891223186 | Christine L Ladner | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577 | 2017-05-31 |
| 1013452473 | Evelyn Perreault Rutledge | Social Worker | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2016-12-21 |
| 1225488281 | La'toria Evans | Physical Therapy Assistant | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2016-06-20 |
| 1437413770 | Joshua Carmi Alderman IIi | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2012-07-02 |
| 1033340690 | James Jason Rogers | Nurse Practitioner | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2009-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689057721 | John Thames | Emergency Medicine | 1428 Azalea Dr S, Wiggins, MS 39577 | 2015-07-07 |
| 1235468190 | Stone County School District | Local Education Agency (LEA) | 214 Critz Street, Wiggins, MS 39577 | 2009-12-23 |
| 1043452493 | Stone County Hospital, Inc | General Acute Care Hospital | 1434 E Central Ave., Wiggins, MS 39577 | 2009-04-01 |
| 1245274414 | James Walter Holmes | Family Medicine | 975 Hall Street, Wiggins, MS 39577 | 2006-06-16 |
| 1790962637 | The Vision Center Pa | Optometrist | 1113 Central Ave E, Wiggins, MS 39577 | 2008-01-23 |
| 1821009465 | County Discount Drugs, Inc. | Durable Medical Equipment & Medical Supplies | 820 Hall St, Wiggins, MS 39577-2100 | 2006-08-10 |
| 1154430940 | Batson Physical Therapy, Inc. | Clinic/Center | 711 Hall St, Wiggins, MS 39577-2105 | 2006-08-29 |
| 1033723937 | Katherine B Tyree | Physical Therapist | 711 Hall St, Wiggins, MS 39577-2105 | 2020-09-08 |
| 1114569340 | Johelen K Trisler | Physical Therapy Assistant | 711 Hall St, Wiggins, MS 39577-2105 | 2019-10-09 |
| 1720502586 | Sheila S Carney | Physical Therapist | 711 Hall St, Wiggins, MS 39577-2105 | 2017-08-02 |
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| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003073057 | Stone County Hospital, Inc | Ambulance | 1434 Central Ave E, Wiggins, MS 39577-9602 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992289573 | A & G Transit Services LLC | Ambulance | 20371 Citation, Gulfport, MS 39503-5582 | 2018-09-20 |
| 1528596814 | Lifeguard Ambulance Service LLC | Ambulance | 543 Highway 6 W, Batesville, MS 38606-9519 | 2017-05-31 |
| 1578009155 | First-line LLC | Ambulance | 2354 Union Rd, Walnut Grove, MS 39189-5189 | 2017-01-06 |
| 1760831630 | Lifeguard Ambulance Service LLC | Ambulance | 630 Purvis Oloh Rd, Purvis, MS 39475-4284 | 2016-06-10 |
| 1295108306 | American Medical Response of Tennessee, Inc. | Ambulance | 1986 Goodman Rd W, Horn Lake, MS 38637-1415 | 2015-11-11 |
| 1841688371 | Jose Oakley | Ambulance | 224a Motor Scooter Dr, Nesbit, MS 38651-9229 | 2015-01-06 |
| 1760764260 | Mississippi Ambulance Service | Ambulance | 11545 Old Highway 49, Gulfport, MS 39503-2654 | 2011-09-12 |
| 1215113956 | Desoto County Office of Board of Supervisors | Ambulance | 6085 Highway 161, Walls, MS 38680-9793 | 2008-01-11 |
| 1639231822 | Transcare Transportation Inc | Ambulance | 210 Alcorn Dr, Corinth, MS 38834-9701 | 2006-12-14 |
| 1447340575 | Paratech Ems, Inc. | Ambulance | 111 East Church St, Quitman, MS 39355-0001 | 2006-10-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.