Organization
BILOXI VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THOMAS WISNIESKI (DIRECTOR)
(228) 523-5766
Entity
Organization
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
Mailing address
10409 SHADY PINE DR, VANCLEAVE, MS 39565-6527
(228) 324-9321
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
R871834
MS
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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