MENTAL HEALTH ASSOCIATION OF SOUTH MISSISSIPPI


Address: 4803 Harrison Cir, Gulfport, MS 39507-4402
Phone: 2288646274

MENTAL HEALTH ASSOCIATION OF SOUTH MISSISSIPPI (NPI# 1154676310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154676310
Entity Type Organization
Organization Name MENTAL HEALTH ASSOCIATION OF SOUTH MISSISSIPPI
Practice Address 4803 Harrison Cir
Gulfport
MS 39507-4402
Practice Telephone 2288646274
Practice Fax Number 2288641310
Mailing Telephone 2288646274
Mailing Fax Number 2288641310
Enumeration Date 2012-07-13
Last Update Date 2012-07-13
Authorized Official Name MRS. KAY MARIE DANEAULT (EXECUTIVE DIRECTOR)
Authorized Official Telephone 2288646274
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251V00000X Voluntary or Charitable Agencies

Office Location

Street Address 4803 HARRISON CIR
City GULFPORT
State MS
Zip Code 39507-4402

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1730385139 Bernard Frederick Podlin Dentist 400 Pass Road, Gulfport, MS 39507 2007-06-22
1043422553 Mark D Stringer Dentist 520-a Courthouse Road, Gulfport, MS 39507 2007-05-04
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Taxonomy Information

Taxonomy Code 251V00000X
Grouping Agencies
Classification Voluntary or Charitable

Taxonomy Definition

Definition to come...

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Competitor

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City GULFPORT
Zip Code 39507

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Dataset Information

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.

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