# HANCOCK MEDICAL HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hancock Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730425802
- **Authorized official:** MR. GUY KEN SMITH MBA (DIRECTOR OPERATIONS)
- **Authorized official phone:** (985) 898-7091

## Contact information

- **Practice address:** 4433 LEISURE TIME DR., DIAMONDHEAD, MS 39525
- **Practice address phone:** (228) 586-9229
- **Practice address fax:** (228) 586-9230
- **Mailing address:** 149 DRINKWATER BLVD., BAY ST LOUIS, MS 39520
- **Mailing address phone:** (228) 467-8676
- **Mailing address fax:** (228) 467-8674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2012
- **Last updated:** 04/30/2014