Organization
SINGING RIVER GULFPORT
Active
Other names
Singing River Gulfport Inpatient Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MCNEIL (CFO)
(228) 497-7597
Entity
Organization
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7112
(228) 575-7190
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09833721
—
MS
Enumeration date
07/28/2021
Last updated
04/17/2026
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