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Memorial Hospital at Gulfport

Organization Active NPI General Acute Care Hospital · Ocean Springs, MS

NPI 1447869854 · NPPES record last updated Dec 29, 2025

Key facts

NPI
1447869854
Entity type
Organization (NPI type 2)
Primary specialty
General Acute Care Hospital 282N00000X
Legal business name
MEMORIAL HOSPITAL AT GULFPORT
Practice address
90 Industrial Park Cir
Ocean Springs, MS 39564-5800
Phone
(228) 872-6290
NPI assigned
Jul 31, 2020
Organization subpart
Yes
Parent organization (as reported)
MEMORIAL HOSPITAL AT GULFPORT

Authorized official

Name
Peggy Lorraine Noonan, BS, CPC
Title
Physician Business Services Dir.
Phone
(228) 575-1740

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 765

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 765

Medicare Care Compare: Hospital

Listed as
Memorial Hospital at Gulfport CCN 250019
Overall star rating
★★★☆☆ 3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D0922136Memorial Surgery Center - Ocean Springs
90 Industrial Park Circle, Ocean Springs, MS 39564		Certificate of waiverNov 14, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MS

Hospital certification: CCN 250019

Legal name
MEMORIAL HOSPITAL AT GULFPORT
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 19, 2009
Beds
445
Ownership / control type
Local
Organization structure
Other · Non-profit
Enrollment address
4500 13TH St
Gulfport, MS 39501-2515
Hospital subgroups
Acute care

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ajm Oustalet
Individual 		Corporate Officer
Board Member		 Mar 1, 2009 5%
Peggy L Noonan
Individual 		Corporate Director
Director, Business Services		 May 1, 2020 5%
W-2 Managing Employee
Director, Business Services		 Jan 1, 2006 5%
Kent Nicaud
Individual 		Corporate Director
Chief Executive Officer		 Nov 1, 2008
W-2 Managing Employee
Ceo		 Nov 1, 2008
Thaddeus Carter
Individual 		Corporate Officer
Board Member		 Aug 1, 2017 5%
Claire Tindell
Individual 		Corporate Officer
Board Member		 Jan 1, 2019 5%
Harrison County Board of Supervisors
Organization · Gulfport, MS 		5% Or Greater Direct Ownership Interest Feb 15, 1989 50%
Carrolyn Hamilton
Individual 		Corporate Director Aug 10, 2009
David H White
Individual 		Corporate Director Sep 17, 1993
City of Gulfport
Organization · Gulfport, MS 		5% Or Greater Direct Ownership Interest Feb 15, 1989 50%
Jennifer Dumal
Individual 		W-2 Managing Employee Feb 8, 1998
Carlos Bell
Individual 		Corporate Officer
Board Secretary		 Nov 26, 2018 5%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Memorial Hospital Biloxi
Biloxi, MS · CCN 250175		 Hospital 5% Or Greater Indirect Ownership Interest (100%) Feb 1, 2025

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080515000774 MS Part a Provider - Hospital 9537062997
O20090515000396 MS Part B Supplier - Clinic/Group Practice 2466524012 Receives reassigned benefits from 753 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

Part of
Memorial Hosp ER Dept

Locations

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Yes

Addresses

Primary practice location

90 Industrial Park Cir
Ocean Springs, MS 39564-5800

Mailing address

PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 575-1342

Other names

  • Memorial Surgery Center Ocean Springs Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service Other Ciox Health

Other providers in Ocean Springs, MS

All providers in Ocean Springs, MS · General Acute Care Hospital in Mississippi

Sources for this page

Verify at the official NPI Registry.