# MEMORIAL HOSPITAL AT GULFPORT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851726202
- **Authorized official:** JEFFREY T STEINER (VP OF FINANCE)
- **Authorized official phone:** (228) 867-4000

## Contact information

- **Practice address:** 4500 13TH ST, CARDIO-VASCULAR LAB, GULFPORT, MS 39501-2515
- **Practice address phone:** (228) 575-2902
- **Practice address fax:** (228) 867-5245
- **Mailing address:** 4500 13TH ST, CARDIO-VASCULAR LAB, GULFPORT, MS 39501-2515
- **Mailing address phone:** (228) 575-2902
- **Mailing address fax:** (228) 867-5245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |

## Other

- **Enumeration date:** 09/04/2013
- **Last updated:** 06/23/2014