NPIMap

Organization Active NPI

Hancock Medical Health Services, Inc.

Doing business as Hancock Medical Surgery - Lee

  • Multi-Specialty Clinic/Center
  • Bay St Louis, MS
National Provider Identifier
1740599695
Registry record updated May 2, 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 Surgery - Lee
Practice address
179 Drinkwater Rd
Bay St Louis, MS 39520-1613
Phone
(228) 467-0298
Fax
(228) 467-1975
NPI assigned
Sep 27, 2010
Last updated
May 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 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) 896-7091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X MS Primary
Surgery Physician 208600000X MS

Addresses

Primary practice location

179 Drinkwater Rd
Bay St Louis, MS 39520-1613

Mailing address

149 Drinkwater Blvd.
Bay St Louis, MS 39520
Phone (228) 467-8700

Other names 1

  • Hancock Medical Surgery - Lee 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": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1740599695",
    "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": "39520",
            "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": "179 DRINKWATER RD",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201613",
            "telephone_number": "228-467-0298",
            "fax_number": "228-467-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK MEDICAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2014-05-02",
        "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": "985-896-7091",
        "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": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Medical Surgery - Lee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay St Louis, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.