Organization
NBHC GULFPORT MS
Active
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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