HANCOCK MEDICAL CENTER NPI 1003007006

Clinic/Center (Urgent Care)

HANCOCK MEDICAL CENTER

Hancock Medical Center is a clinic/center in Diamondhead, MS. Hancock Medical Center NPI is 1003007006. The provider's taxonomy code is 261QU0200X - Clinic/Center.The provider is doing business as is Diamondmed Urgent Care.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003007006
Provider Name: HANCOCK MEDICAL CENTER
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: Yes Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 08-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 10-08-2009 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Other Organization Name: DIAMONDMED URGENT CARE Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Other Name Type: Doing Business As (3)

Authorized Official Name: MR. DONALD L WADE CPA Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: CHIEF FINANCIAL OFFICER
Authorized Official Phone: (228) 467-8700


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1261QU0200X Additional informationCallout TooltipTaxonomy Code - 261QU0200X


Ambulatory Health Care FacilitiesClinic/CenterUrgent Care11214MSYes

Map Location


HANCOCK MEDICAL CENTER address is 4540 SHEPHERD SQUARE SUITE B DIAMONDHEAD, MS 39525 Get Directions