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Organization

NBHC GULFPORT MS

Active
Other names
NBHC Gulport MS
Organization subpart
No

Provider details

NPI number
Authorized official
GREG ALLAN LASSITER IDC (IDC)
(361) 739-2637
Entity
Organization

Contact information

Practice address
5301 BAINBRIDGE AVE, GULFPORT, MS 39501-9026
(361) 739-2637
Mailing address
5301 BAINBRIDGE AVE, GULFPORT, MS 39501-9026
(361) 739-2637

Taxonomy

Speciality
Code
Description
License number
State
2865X1600X
Operational (Transportable) Military General Acute Care Hospital
Primary

Other

Enumeration date
07/27/2007
Last updated
07/27/2007
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