Organization Active NPI

VA Gulf Coast Veteran Healthcare System

  • General Acute Care Hospital
  • Biloxi, MS
National Provider Identifier
1679654966
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
R598283 Issued in MS
Legal business name
VA GULF COAST VETERAN HEALTHCARE SYSTEM
Practice address
855 On the GRN
Biloxi, MS 39532-3229
Phone
(228) 388-6480
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen A Peden, RN, CWOCN
Title
RN/Enterostomal Therapy Nurse
Phone
(228) 523-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X R598283 MS Primary

Addresses

Primary practice location

855 On the GRN
Biloxi, MS 39532-3229

Mailing address

400 Veterans Ave
Biloxi, MS 39531-2410
Phone (228) 523-5000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679654966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 VETERANS AVE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312410",
            "telephone_number": "228-523-5000",
            "fax_number": "228-523-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ON THE GRN",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395323229",
            "telephone_number": "228-388-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA GULF COAST VETERAN HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEDEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RN/ENTEROSTOMAL THERAPY NURSE",
        "authorized_official_telephone_number": "228-523-5000",
        "authorized_official_credential": "RN, CWOCN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MS",
            "license": "R598283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.