# UNIVERSITY OF SOUTHERN MISSISSIPPI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gulf Park Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447926837
- **Authorized official:** DR. LAWANDA BASKIN PHD, FNP-C (DIRECTOR)
- **Authorized official phone:** (601) 266-6081

## Contact information

- **Practice address:** 117 BEACH PARK PL, LONG BEACH, MS 39560-6223
- **Practice address phone:** (228) 214-3300
- **Mailing address:** 117 BEACH PARK PL, LONG BEACH, MS 39560-6223
- **Mailing address phone:** (228) 214-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0905X | State or Local Public Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/17/2021
- **Last updated:** 08/17/2021