Organization Active NPI

U.S. Department of Veterans Affairs

  • Military Hospital
  • Biloxi, MS
National Provider Identifier
1831495415
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
Legal business name
U.S. DEPARTMENT OF VETERANS AFFAIRS
Practice address
400 Veterans Ave
T100 (Social Work)
Biloxi, MS 39531-2410
Phone
(228) 523-4550
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Ms. Tryphena Hubbard Ellis, LCSW
Title
Social Worker
Phone
(228) 261-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X MS Primary

Addresses

Primary practice location

400 Veterans Ave
T100 (Social Work)
Biloxi, MS 39531-2410

Mailing address

15235 Saint Charles St
Gulfport, MS 39503-2822
Phone (228) 261-0422

Other identifiers 1

IdentifierTypeStateIssuer
340727612OtherMSVETERAN AFFAIRS HEALTH CARE SYSTEM

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

400 Veterans Ave
#T100
Biloxi, MS 39531
Phone (228) 523-4550

NPI Registry JSON

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1831495415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15235 SAINT CHARLES ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032822",
            "telephone_number": "228-261-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VETERANS AVE",
            "address_2": "T100 (SOCIAL WORK)",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312410",
            "telephone_number": "228-523-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "TRYPHENA",
        "authorized_official_middle_name": "HUBBARD",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "228-261-0422",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERAN AFFAIRS HEALTH CARE SYSTEM",
            "identifier": "340727612",
            "state": "MS"
        }
    ],
    "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 Jan 31, 2011; 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.