Hancock Medical Center
Organization Active NPI Urgent Care Clinic/Center · Diamondhead, MS
NPI 1003007006 · NPPES record last updated Oct 8, 2009
Key facts
- NPI
- 1003007006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- License
- 11214 (MS)
- Legal business name
- HANCOCK MEDICAL CENTER
- Practice address
- 4540 Shepherd Square
Suite B
Diamondhead, MS 39525 - Phone
- (228) 255-8216
- Fax
- (228) 255-8219
- NPI assigned
- Aug 5, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- HANCOCK MEDICAL CENTER
Authorized official
- Name
- Mr. Donald L Wade, CPA
- Title
- Chief Financial Officer
- Phone
- (228) 467-8700
National Provider Directory
Locations
4540 Shepherd Sq
#B
Diamondhead, MS 39525
Phone (228) 255-8216
Interoperability endpoints
- https://api.platform.athenahealth.com/2644/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 11214 | MS | Yes |
Addresses
Primary practice location
4540 Shepherd Square
Suite B
Diamondhead, MS 39525
Mailing address
P.O. Box 2790
Bay Saint Louis, MS 39521-2790
Phone (228) 467-8700
Other names
- DiamondMed Urgent Care
Other providers in Diamondhead, MS
- Joseph E Gregory
- Gulf Coast Life, PLLC
- Gulf Coast Wound Associates LLC
- Michael D Haggerty Jr.
- Hancock Family Medicine
- Hancock Medical Center
- Hancock Medical Health Services
- Hancock Medical Health Services, Inc.
- Hancock Medical Health Services, Inc.
- Hancock Medical Health Services, Inc.
All providers in Diamondhead, MS · Urgent Care Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.