Hancock Medical Health Services, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

HANCOCK MEDICAL HEALTH SERVICES, INC.

Doing business as

Diamondmed Urgent Care

Practice address

5435 Gex Rd
Diamondhead, MS 39525-3208

Phone

(228) 255-8216

Fax

(228) 255-8219

NPI assigned

Oct 1, 2010

Last updated

May 2, 2014By the provider in NPPES

Organization subpart

No

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) 898-7091

Specialties & licenses 2

Addresses

Other names 1

• DIAMONDMED URGENT CARE Doing business as

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1922317478",
    "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": "5435 GEX RD",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253208",
            "telephone_number": "228-255-8216",
            "fax_number": "228-255-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK MEDICAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "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": "985-898-7091",
        "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": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIAMONDMED URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hancock Medical Center (Hancock Orthopedic Clinic)
• Hancock Medical Health Services
• Hancock Medical Health Services, Inc. (Hancock Medical Orthopedic)
• Hancock Medical Health Services, Inc. (Hancock Family Medicine)
• Hancock Medical Health Services, Inc. (Hancock Medical Womens Services)
• Charles Eugene Harris, PH.D.
• Preethi S Harrison, PA-C
• Allison Kae Hennessey
• Desmond Wayne Hoda, D.C.
• John Cameron Hodge, D.O.

• Multi-Specialty Clinic/Center in Diamondhead, MS
• Providers in Diamondhead, MS by specialty
• Multi-Specialty Clinic/Center in Mississippi

• 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.