Organization
HANCOCK MEDICAL CENTER
Active
Parent organization
HANCOCK MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
HANCOCK MEDICAL CENTER
Authorized official
MR. THOMAS P RAMSEY (CHIEF FINANCIAL OFFICER)
(228) 467-8787
Entity
Organization
Contact information
Practice address
149 DRINKWATER BLVD, BAY SAINT LOUIS, MS 39520-1658
(228) 467-8787
(228) 467-8799
Mailing address
149 DRINKWATER RD, BAY SAINT LOUIS, MS 39520-1658
(228) 467-8787
(228) 467-8799
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11214
MS
207Q00000X
Family Medicine Physician
11214
MS
207R00000X
Internal Medicine Physician
11214
MS
208000000X
Pediatrics Physician
11214
MS
208600000X
Surgery Physician
11214
MS
213E00000X
Podiatrist
11214
MS
367500000X
Certified Registered Nurse Anesthetist
11214
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015704
—
MS
01
—
19166A
B-CROSS CRNA PRO FEE
MS
Enumeration date
06/30/2006
Last updated
03/02/2015
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