Hancock Medical Health Services, Inc.

Organization Active NPI Multi-Specialty Clinic/Center · Diamondhead, MS

NPI 1730425802 · NPPES record last updated Apr 30, 2014

Key facts

NPI
1730425802
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
HANCOCK MEDICAL HEALTH SERVICES, INC.
Practice address
4433 Leisure Time Dr.
Diamondhead, MS 39525
Phone
(228) 586-9229
Fax
(228) 586-9230
NPI assigned
Dec 18, 2012
Organization subpart
No

Authorized official

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

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X
Multi-Specialty Clinic/Center 261QM1300X Yes

Addresses

Primary practice location

4433 Leisure Time Dr.
Diamondhead, MS 39525

Mailing address

149 Drinkwater Blvd.
Bay St Louis, MS 39520
Phone (228) 467-8676

Other names

  • Hancock Family Medicine Doing business as

Other providers in Diamondhead, MS

All providers in Diamondhead, MS · Multi-Specialty Clinic/Center in Mississippi

Sources for this page

Verify at the official NPI Registry.