Gulfport Surgery Clinic

LBN: Gulfport Surgery Clinic
Gulfport Surgery Clinic is an health care organization with primary practice located at 1312 44Th Ave , Gulfport MS 39501-2552. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gulfport Surgery Clinic can be contacted via phone (228) 822-6160, or through Mace, Thomas Paul via phone (228) 822-6160.

Contact Information

Primary practice address
1312 44Th Ave Gulfport MS 39501-2552
Phone: (228) 822-6160
Fax: (228) 539-8327
Website:
Map and Directions
Authorized official contact:
Name: Mace, Thomas Paul Doctor of Medicine (MD)
Phone: (228) 822-6160

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 13995 Mississippi

Profile Details

NPI number 1740291145
LBN Legal business name Gulfport Surgery Clinic
DBA Doing business as
Authorized official Mace, Thomas Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jun 11th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740291145 NPPES
Mississippi MEDICAID 00383374

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