NPIMap

Organization Active NPI

Hancock Medical Health Services

Doing business as Hancock Medical Health Services - BWSD

  • Nurse Practitioner
  • Bay St Louis, MS
National Provider Identifier
1942551445
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11-214 Issued in MS
Legal business name
HANCOCK MEDICAL HEALTH SERVICES
Doing business as
Hancock Medical Health Services - BWSD
Practice address
750 Blue Meadow Road
Bay St Louis, MS 39520
Phone
(228) 463-9375
Fax
(228) 493-9371
NPI assigned
Sep 24, 2012
Last updated
Sep 24, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
HANCOCK MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Suzette Duhe
Title
Cfo
Phone
(228) 467-8787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 11-214 MS Primary

Addresses

Primary practice location

750 Blue Meadow Road
Bay St Louis, MS 39520

Mailing address

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

Other names 1

  • Hancock Medical Health Services - BWSD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hancock Medical Health Services - HCSD13 organizations share this tax ID, including this one
Part of
Hancock Medical Center

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1942551445",
    "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": "228-467-8676",
            "fax_number": "228-467-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 BLUE MEADOW ROAD",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-463-9375",
            "fax_number": "228-493-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK MEDICAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANCOCK MEDICAL CENTER",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "DUHE",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "228-467-8787"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "11-214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hancock Medical Health Services - BWSD",
            "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 Sep 24, 2012; 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.