SINGING RIVER HEALTH SYSTEM NPI 1083893937

Clinic/Center (Multi-Specialty) in Gautier, MS

NPI 1083893937 Organization Clinic/Center Multi-Specialty

About SINGING RIVER HEALTH SYSTEM

Singing River Health System is a provider established in Gautier, Mississippi specializing in clinic/center (multi-specialty) . The NPI number of Singing River Health System is 1083893937 and was assigned on October 2007. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. Lee Bond (Coo)

NPI

1083893937

Provider NameSINGING RIVER HEALTH SYSTEM
Provider Location Address2101 HIGHWAY 90 GAUTIER, MS 39553
Provider Mailing Address2101 HIGHWAY 90 GAUTIER, MS 39553
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date10-29-2007
Last Update Date01-30-2018


Primary Taxonomy

Taxonomy Code261QM1300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMulti-Specialty

Business Address

SINGING RIVER HEALTH SYSTEM
2101 HIGHWAY 90
GAUTIER, MS
ZIP 39553
Phone: (228) 497-8874

Get Directions


Mailing Address

SINGING RIVER HEALTH SYSTEM
2101 HIGHWAY 90
GAUTIER, MS
ZIP 39553
Phone:



Authorized Official

Authorized Official NameMR. LEE BOND
Authorized Official TitleCOO
Authorized Official Phone(228) 497-7908

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1261Q00000XAmbulatory Health Care FacilitiesClinic/CenterNo

Taxonomy Description: a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthNo

Taxonomy Description: Not Available

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003005133SINGING RIVER HEALTH SYSTEM
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-7964
1609812833 CELESTE DURHAM RD
Individual
Dietitian, Registered2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-8874
1639510142MR. JOSEPH CHANCE KEYS NP
Individual
Nurse Practitioner (Family)2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-8874
1871628180MR. GREGORY PAUL GREER CRNA, MHS
Individual
Nurse Anesthetist, Certified Registered2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 809-5000
1588803225 ALLYSON PEREZ CRNA
Individual
Nurse Anesthetist, Certified Registered2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-7576
1962994897 JOHN HUDSON IV PT
Individual
Physical Therapist2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 471-1521
1821580762 ALLISON CROWLEY SPEECH
Individual
Speech-Language Pathologist2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 471-1521
1801059381DR. JOHN RYAN LOGAN MD
Individual
Internal Medicine2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 809-5510

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is 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. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.