# MEMORIAL HOSPITAL AT GULFPORT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PHYSICIANS CLINIC AT MHG
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104179654
- **Authorized official:** JEFF STEINER (VP OF FINANCE)
- **Authorized official phone:** (228) 575-2902

## Contact information

- **Practice address:** 4500 13TH ST, 2ND FLOOR MAIN TOWER, GULFPORT, MS 39501-2515
- **Practice address phone:** (228) 867-4000
- **Practice address fax:** (228) 867-5245
- **Mailing address:** PO BOX 555, BILOXI, MS 39533-0555
- **Mailing address phone:** (228) 575-1700
- **Mailing address fax:** (228) 575-1735

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2012
- **Last updated:** 10/22/2012