# HANCOCK MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HANCOCK MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730118068
- **Legal business name:** HANCOCK MEDICAL CENTER
- **Authorized official:** MR. THOMAS P RAMSEY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (228) 467-8787

## Contact information

- **Practice address:** 149 DRINKWATER BLVD, BAY SAINT LOUIS, MS 39520-1658
- **Practice address phone:** (228) 467-8787
- **Practice address fax:** (228) 467-8799
- **Mailing address:** 149 DRINKWATER RD, BAY SAINT LOUIS, MS 39520-1658
- **Mailing address phone:** (228) 467-8787
- **Mailing address fax:** (228) 467-8799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 11214 | MS | Yes |
| 207Q00000X | Family Medicine Physician | 11214 | MS | — |
| 207R00000X | Internal Medicine Physician | 11214 | MS | — |
| 208000000X | Pediatrics Physician | 11214 | MS | — |
| 208600000X | Surgery Physician | 11214 | MS | — |
| 213E00000X | Podiatrist | 11214 | MS | — |
| 367500000X | Certified Registered Nurse Anesthetist | 11214 | MS | — |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 03/02/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09015704 | — | MS |
| 01 | — | 19166A | B-CROSS CRNA PRO FEE | MS |