HANCOCK MEDICAL CENTER NPI 1003007006

Clinic/Center (Urgent Care) in Diamondhead, MS

About HANCOCK MEDICAL CENTER

Hancock Medical Center is a provider in Diamondhead, MS. The NPI number assigned to this provider is 1003007006. The practitioner's primary taxonomy code is Clinic/Center (261QU0200X). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Diamondmed Urgent Care.

NPI1003007006 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameHANCOCK MEDICAL CENTER
Provider Location Address4540 SHEPHERD SQUARE SUITE B DIAMONDHEAD, MS 39525 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressP.O. BOX 2790 BAY SAINT LOUIS, MS 39521 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization 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.
Other Organization NameDIAMONDMED 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 TypeDoing Business As (3)
Enumeration Date08-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-08-2009 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

HANCOCK MEDICAL CENTER
4540 SHEPHERD SQUARE
SUITE B
DIAMONDHEAD, MS
ZIP 39525
Phone: (228) 255-8216
Fax: (228) 255-8219
Get Directions

Mailing Address

HANCOCK MEDICAL CENTER
P.O. BOX 2790
BAY SAINT LOUIS, MS
ZIP 39521
Phone: (228) 467-8700
Fax: (228) 467-8799

Primary Taxonomy

Taxonomy Code261QU0200X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationUrgent Care
License No.11214
License StateMS

Authorized Official

Authorized Official NameMR. 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 TitleCHIEF FINANCIAL OFFICER
Authorized Official Phone(228) 467-8700

Map Location


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

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134305352HANCOCK MEDICAL CENTER
Organization
Orthopaedic Surgery4540 SHEPHERD SQUARE SUITE C
DIAMONDHEAD, MS 39525
(228) 255-8526