Organization
SINGING RIVER HEALTH SYSTEM
Active
Other names
Singing River Hospital Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN HOLLAND (CEO)
(228) 497-7900
Entity
Organization
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000019059
BLUE CROSS OF MS
—
05
—
09014182
—
MS
01
—
C00047
MEDICARE
MS
01
—
DB2523
MEDICARE RAILROAD
—
Enumeration date
03/28/2007
Last updated
05/31/2017
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