HANCOCK MEDICAL HEALTH SERVICES (NPI# 1730502055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730502055 |
| Entity Type | Organization |
| Organization Name | HANCOCK MEDICAL HEALTH SERVICES |
| Practice Address |
5435 Gex Road Diamondhead MS 39525 |
| Mailing Address |
149 Drinkwater Blvd. Bay St. Louis MS 39520 |
| Practice Telephone | 2284678676 |
| Practice Fax Number | 2284678674 |
| Mailing Telephone | 2284678676 |
| Mailing Fax Number | 2284678674 |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |
| Authorized Official Name | KEN SMITH (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 9858987079 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538410105 | Hancock Medical Health Services | Nurse Practitioner | 1101 St. Joseph St., Waveland, MS 39576 | 2012-09-24 |
| 1942551445 | Hancock Medical Health Services | Nurse Practitioner | 750 Blue Meadow Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1568713071 | Hancock Medical Health Services | Nurse Practitioner | 4221 Kiln - Delisle Rd., Kiln, MS 39556 | 2012-09-24 |
| 1649693961 | Hancock Medical Health Services | Clinic/Center | 149 Drinkwater Blvd., Bay St. Louis, MS 39520 | 2014-01-22 |
| Street Address |
5435 GEX ROAD |
| City | DIAMONDHEAD |
| State | MS |
| Zip Code | 39525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447762042 | South Mississippi Home Care, LLC | Home Health | 56128 Diamondhead Dr E, Diamondhead, MS 39525 | 2017-11-04 |
| 1093247553 | Deedy Killen | Registered Nurse | 124a Lakeside Villa Bldg C, Diamondhead, MS 39525 | 2017-04-03 |
| 1760756423 | Catherine Michelle Brashear | Nurse Practitioner | 4045b Shepards Square, Diamondhead, MS 39525 | 2012-02-28 |
| 1669745303 | Christopher Byron Arcement | Nurse Practitioner | 5435 Gex Rd., Diamondhead, MS 39525 | 2012-02-10 |
| 1184894354 | Gary S. Porter | Nurse Practitioner | 4540 B Shepherds Squard, Diamondhead, MS 39525 | 2008-03-04 |
| 1003007006 | Hancock Medical Center | Clinic/Center | 4540 Shepherd Square, Suite B, Diamondhead, MS 39525 | 2007-08-05 |
| 1346461423 | Charles Eugene Harris | Psychologist | 5427-a Gex Rd, Diamondhead, MS 39525 | 2007-05-02 |
| 1548318025 | Total Rehab Plus LLC | Physical Therapist | 4363 C Leisuretime Dr, Diamondhead, MS 39525 | 2007-01-08 |
| 1356445944 | Cornelia H. Swayze | Social Worker | 4387 Leisure Time Drive, Diamondhead, MS 39525 | 2006-09-12 |
| 1346358652 | James E Hightower Jr. | Counselor | 9964 Kahana St, Diamondhead, MS 39525 | 2006-08-27 |
| Find all providers in zip 39525 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487201372 | Caleb Mountain Climbing Wholistic International Center LLC | Clinic/Center | 610 Adeline St Ste 1a, Hattiesburg, MS 39401-3875 | 2019-08-24 |
| 1700440369 | Gentle Hands Healthcare LLC | Clinic/Center | 135 Oak Meadow Dr, Clinton, MS 39056-6044 | 2019-04-29 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538478870 | Hancock Medical Health Services, Inc. | Clinic/Center | 100 Hancock Square Dr, Bay St Louis, MS 39520-1632 | 2010-10-05 |
| 1629287719 | Singing River Health System | Clinic/Center | 7001 Highway 614, Moss Point, MS 39562 | 2007-05-22 |
| 1164422580 | Mississippi University for Women | Clinic/Center | 620 10th St South, Cromwell Bldg Room 129, Columbus, MS 39701 | 2005-07-28 |
| 1578129177 | Madison Hma LLC | Clinic/Center | 161 River Oaks Dr, Canton, MS 39046-5375 | 2019-05-20 |
| 1902361660 | Sog Physical Therapy | Clinic/Center | 1211 S Gloster St Ste C, Tupelo, MS 38801-6535 | 2019-02-07 |
| 1558897744 | Asa LLC | Clinic/Center | 1924 30th Ave, Gulfport, MS 39501-4534 | 2017-05-07 |
| 1295261642 | Quality Medical Clinic II, LLC | Clinic/Center | 101 Hospital Dr, Tylertown, MS 39667-2021 | 2017-05-04 |
| Find all providers with the same taxonomy | ||||
| City | DIAMONDHEAD |
| Zip Code | 39525 |
Please comment or provide details below to improve the information on HANCOCK MEDICAL HEALTH SERVICES.
| 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.