# HANCOCK MEDICAL HEALTH SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hancock Medical Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912216466
- **Authorized official:** MR. GUY KEN SMITH MBA (DIRECTOR OPERATIONS)
- **Authorized official phone:** (985) 898-7091

## Contact information

- **Practice address:** 3068 PORT AND HARBOR DR, BAY ST LOUIS, MS 39520-9306
- **Practice address phone:** (228) 533-9000
- **Practice address fax:** (228) 533-9003
- **Mailing address:** PO BOX 2790, BAY ST LOUIS, MS 39521-2790
- **Mailing address phone:** (228) 467-8700
- **Mailing address fax:** (228) 467-8799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | MS | Yes |
| 261QR1300X | Rural Health Clinic/Center | 11214 | MS | — |

## Other

- **Enumeration date:** 10/01/2010
- **Last updated:** 05/01/2014