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MEMORIAL SURGERY CENTER CEDAR LAKE
NPI 1215546635
General Acute Care Hospital in Biloxi, MS

Active since July 31, 2020CLIA 25D2003015 · Waiver
1720B MEDICAL PARK DR, BILOXI, MS 39532(228) 702-2000(228) 702-2018 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 19, 2020, Jul 31, 2020 (2 updates tracked since 2020).

About Memorial Surgery Center Cedar Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL SURGERY CENTER CEDAR LAKE (NPI 1215546635) is a healthcare organization registered as a general acute care hospital in Biloxi, Mississippi and active in the NPI registry since July 2020. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists Peggy Lorraine Noonan, Physician Business Services Dir., as its authorized official.

NPPES Registry Identity

NPI1215546635
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameMEMORIAL HOSPITAL AT GULFPORT
Location Address1720B MEDICAL PARK DRBiloxi, MS 39532-2131
Mailing AddressPo Box 1810Gulfport, MS 39502-1810 · (228) 575-1342
Phone(228) 702-2000
Fax(228) 702-2018
Organization SubpartYes
Authorized OfficialPeggy Lorraine NoonanPhysician Business Services Dir. · (228) 575-1740
Enumeration DateJuly 31, 2020
Last NPPES UpdateJanuary 9, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1215546635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

1720B MEDICAL PARK DR, Biloxi, MS 39532
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Other Names 1

Doing Business AsMemorial Surgery Center Cedar Lake

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2003015

Memorial Surgery Center - Cedar Lake · Biloxi, MS
Active · expires Jan 28, 2028
CLIA Number25D2003015
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorAshley Ross
Laboratory Phone(228) 702-2000
Laboratory LocationMemorial Surgery Center - Cedar Lake1720B Medical Park Drive, Biloxi, MS 39532
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. LARRY HAMMONDS RNFA / CNOR
Clinic/Center (Ambulatory Surgical)
1720B MEDICAL PARK DR
BILOXI, MS 39532
Harrison County (228) 702-2000
SUN COAST ANESTHESIA PA
Anesthesiology
1720B MEDICAL PARK DR
BILOXI, MS 39532
Harrison County (228) 702-2000
DR. PRESLEY D MALLETT M.D.
Anesthesiology
1720B MEDICAL PARK DR
BILOXI, MS 39532
Harrison County (228) 328-2093
ALLAN QUINN CRNA
Nurse Anesthetist, Certified Registered
1720B MEDICAL PARK DR
BILOXI, MS 39532
Harrison County (678) 553-8150
MEREDITH COLEMAN CRNA
Nurse Anesthetist, Certified Registered
1720B MEDICAL PARK DR
BILOXI, MS 39532
Harrison County (228) 702-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Hospital At Gulfport's NPI number?

The NPI number for Memorial Hospital At Gulfport is 1215546635. It was assigned to this organization in the NPPES registry on July 31, 2020. The provider is doing business as Memorial Surgery Center Cedar Lake.

Where is Memorial Hospital At Gulfport located?

Memorial Hospital At Gulfport is located at 1720B Medical Park Dr, Biloxi, MS 39532. The listed phone number is (228) 702-2000.

What is Memorial Hospital At Gulfport's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does Memorial Hospital At Gulfport hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2003015) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Memorial Hospital At Gulfport accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Memorial Hospital At Gulfport as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Memorial Hospital At Gulfport was last updated on January 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.