MEMORIAL HOSPITAL AT GULFPORT (NPI# 1215546635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215546635 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL AT GULFPORT |
| Other Organization Name | MEMORIAL SURGERY CENTER CEDAR LAKE |
| Practice Address |
1720b Medical Park Dr Biloxi MS 39532-2131 |
| Mailing Address |
Po Box 1810 Gulfport MS 39502-1810 |
| Practice Telephone | 2287022000 |
| Practice Fax Number | 2287022018 |
| Mailing Telephone | 2285751342 |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2020-08-19 |
| Authorized Official Name | KATHERINE HILL (ASSISTANT CONTROLLER) |
| Authorized Official Telephone | 2285751342 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HOSPITAL AT GULFPORT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Memorial Surgery Center Cedar Lake | 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 |
1720B MEDICAL PARK DR |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790773034 | Paulette D Travis | Nurse Anesthetist, Certified Registered | 1720b Medical Park Dr, Biloxi, MS 39532-2131 | 2005-10-11 |
| 1952775348 | Meredith Coleman | Nurse Anesthetist, Certified Registered | 1720b Medical Park Dr, Biloxi, MS 39532-2131 | 2015-11-23 |
| 1568722353 | Larry Hammonds | Clinic/Center | 1720b Medical Park Dr, Biloxi, MS 39532-2131 | 2012-05-25 |
| 1356564454 | Presley D Mallett | Anesthesiology | 1720b Medical Park Dr, Biloxi, MS 39532-2131 | 2007-04-10 |
| 1679693782 | Sun Coast Anesthesia Pa | Anesthesiology | 1720b Medical Park Dr, Biloxi, MS 39532-2131 | 2007-03-30 |
| 1033260724 | Allan Quinn | Nurse Anesthetist, Certified Registered | 1720b Medical Park Dr, Biloxi, MS 39532-2131 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679654966 | Va Gulf Coast Veteran Healthcare System | General Acute Care Hospital | 855 On The Grn, Biloxi, MS 39532-3229 | 2006-10-17 |
| 1851840607 | Denese H. Dapito | General Acute Care Hospital | 147 Reynoir St, Biloxi, MS 39530-4109 | 2016-09-21 |
| 1578831970 | Biloxi Va Hospital | General Acute Care Hospital | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2011-12-13 |
| 1598933509 | Department of Veterans Affairs | General Acute Care Hospital | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2008-02-12 |
| 1053443820 | Harrison Hma Inc | General Acute Care Hospital | 180 Debuys Rd., Biloxi, MS 39531 | 2007-03-09 |
| 1073608808 | U.s Air Force | General Acute Care Hospital | 301 Fisher St, Biloxi, MS 39534-2508 | 2006-10-04 |
| 1811921695 | Brenda Lynn Alexander | General Acute Care Hospital | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-10 |
| 1114965449 | Harrison Hma, Inc. | General Acute Care Hospital | 180a Debuys Rd, Biloxi, MS 39531-4402 | 2006-06-02 |
| 1972557064 | Biloxi Hma LLC | General Acute Care Hospital | 150 Reynoir St, Biloxi, MS 39530-4130 | 2006-05-22 |
| 1811946817 | Biloxi Vamc | General Acute Care Hospital | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-05-08 |
| Find all providers in BILOXI | ||||
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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.