Hancock Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11217 Issued in MS

Legal business name

HANCOCK MEDICAL CENTER

Doing business as

Hancock Medical Walk-In Care

Practice address

17000 Kapalama Dr
Pass Christian, MS 39571-9761

Phone

(228) 467-8700

Fax

(228) 467-8799

NPI assigned

Jan 18, 2010

Last updated

Mar 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald L Wade, CPA

Title

Chief Financial Officer

Phone

(228) 467-8700

Specialties & licenses 1

Addresses

Other names 1

• Hancock Medical Walk-In Care Doing business as

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

{
    "created_epoch": "1263772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1356672166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2790",
            "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 DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395719761",
            "telephone_number": "228-467-8700",
            "fax_number": "228-467-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "228-467-8700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "11217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Medical Walk-In Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Golden Hearts Homecare Services LLC
• Kylie Gould
• Gulf Coast Breastfeeding Center LLC
• Gulf Coast Health Educators
• Rita M. Hall, CCCSLP
• Hancock Medical Center (Hancock Medical Pass Christian)
• Hancock Medical Health Services, Inc. (Hancock Medical Walk-In Care)
• Hancock Medical Health Services, Inc. (Hancock Medical Pass Christian)
• Heartland Pediatrics LLC
• Miranda W Hebert, RDN

• Family Medicine Physician in Pass Christian, MS
• Providers in Pass Christian, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.