# 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:** 1417298654
- **Authorized official:** JEFFREY T STEINER (VP OF FINANCE)
- **Authorized official phone:** (228) 865-3076

## Contact information

- **Practice address:** 4500 13TH ST, 3RD FLOOR MAIN TOWER SUITE A, GULFPORT, MS 39501-2515
- **Practice address phone:** (228) 575-2390
- **Practice address fax:** (228) 575-2120
- **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 |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | — | NULL | Yes |
| 207RI0200X | Infectious Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/13/2013