DR. CHARLES J GRUICH


Address: 2356 Pass Rd, Suite 100, Biloxi, MS 39531-2236
Phone: 2283887080

DR. CHARLES J GRUICH (NPI# 1457436347) 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) 1457436347
Entity Type Individual
Full Name DR. CHARLES J GRUICH
Credential M.D.
Practice Address 2356 Pass Rd
Suite 100
Biloxi
MS 39531-2236
Practice Telephone 2283887080
Practice Fax Number 2283887493
Mailing Telephone 2283887080
Mailing Fax Number 2283887493
Enumeration Date 2006-10-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320700000X Residential Treatment Facility, Physical Disabilities 08349 MS Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS LIC.# 08349 01
MS DEA AG8063149 01

Office Location

Street Address 2356 PASS RD
SUITE 100
City BILOXI
State MS
Zip Code 39531-2236

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154431351 Mitchell J Gruich Pediatrics 2356 Pass Rd, Suite 300, Biloxi, MS 39531-2236 2006-08-30
1487860979 Vickie Gill Cruse Audiologist 2356 Pass Rd, Biloxi, MS 39531-2236 2007-05-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306460431 Southern Home Care Services, Inc. In Home Supportive Care 1901 Pass Rd, Ste C, Biloxi, MS 39531 2020-06-04
1285287698 Veronica Lynn Walker Nurse Practitioner 180-b Debuys Road, Biloxi, MS 39531 2019-07-24
1982264875 Brittany Paitsel Dietitian, Registered 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 2019-06-13
1144792425 Traditions Hospice of Biloxi, LLC Hospice Care, Community Based 243 Beauvoir Road, Suite B, Biloxi, MS 39531 2018-12-26
1790275956 Gulf Coast Wellness Center Inc Physical Medicine & Rehabilitation 2318 Pass Rd Ste 7c, Biloxi, MS 39531 2018-05-14
1861929655 John Marc Bailey Physician Assistant 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 2017-05-11
1134574270 Shondra Davis Social Worker 400 Veteran Ave, Biloxi, MS 39531 2016-04-26
1063872349 Stephanie Nix Lentz Physician Assistant 180b Debuys Rd Ste 203, Biloxi, MS 39531 2016-03-01
1093121196 Gulf Coast Outpatient Surgery Center, LLC Clinic/Center 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 2014-07-09
1215354402 Memorial Hospital At Gulfport Physical Therapy Assistant 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 2014-03-25
Find all providers in zip 39531

Taxonomy Information

Taxonomy Code 320700000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Physical Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275837767 Divinity Hospice LLC. Residential Treatment Facility, Physical Disabilities 337 Ellisville Blvd, Laurel, MS 39440-4523 2010-12-27
1710138201 Better Day Services Residential Treatment Facility, Physical Disabilities 215 W Gillespie St, Starkville, MS 39759-3207 2008-10-02

Competitor

Search similar providers

City BILOXI
Zip Code 39531

Improve Information

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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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