Organization Active NPI

Hancock Medical Health Services, Inc.

Doing business as Hancock Medical Walk-In Care

  • Multi-Specialty Clinic/Center
  • Pass Christian, MS
National Provider Identifier
1346559689
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HANCOCK MEDICAL HEALTH SERVICES, INC.
Doing business as
Hancock Medical Walk-In Care
Practice address
17000 Kapalama Rd
Pass Christian, MS 39571-9761
Phone
(228) 395-1200
Fax
(228) 395-1201
NPI assigned
Oct 5, 2010
Last updated
Apr 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Guy Ken Smith, MBA
Title
Director Operations
Phone
(985) 898-7091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X MS Primary
Family Nurse Practitioner 363LF0000X MS

Addresses

Primary practice location

17000 Kapalama Rd
Pass Christian, MS 39571-9761

Mailing address

149 Drinkwater Blvd.
Bay St Louis, MS 39521-2790
Phone (228) 467-8700

Other names 1

  • Hancock Medical Walk-In Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1346559689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DRINKWATER BLVD.",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395212790",
            "telephone_number": "228-467-8700",
            "fax_number": "228-467-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 KAPALAMA RD",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395719761",
            "telephone_number": "228-395-1200",
            "fax_number": "228-395-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK MEDICAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "985-898-7091",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "MS",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Medical Walk-In Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pass Christian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.