Organization
MEMORIAL HOSPITAL AT GULFPORT
Active
Parent organization
MEMORIAL HOSPITAL AT GULFPORT
Other names
Memorial Woodland Village Nursing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL AT GULFPORT
Authorized official
PEGGY LORRAINE NOONAN BS, CPC (PHYSICIAN BUSINESS SERVICES DIR.)
(228) 575-1740
Entity
Organization
Contact information
Practice address
5427 GEX RD, DIAMONDHEAD, MS 39525-3208
(228) 255-4832
(228) 255-4833
Mailing address
5427 GEX RD, DIAMONDHEAD, MS 39525-3208
(228) 255-4832
(228) 255-4833
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
692
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230023
—
MS
Enumeration date
10/12/2006
Last updated
01/09/2024
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