Southern Coast Family Medical
LBN: Medical Foundation Of South Ms
Southern Coast Family Medical is an health care organization with primary practice located at 394 Courthouse Rd Suite A, Gulfport MS 39507-1865. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Medical Foundation Of South Ms can be contacted via phone (228) 896-4417, or through Robinson, Randy via phone (228) 865-1453.
Contact Information
Primary practice address
394 Courthouse Rd Suite A
Gulfport MS 39507-1865
Phone: (228) 896-4417
Fax: (228) 865-1457
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
NPI number | 1821233917 |
---|---|
LBN Legal business name | Medical Foundation Of South Ms |
DBA Doing business as | Southern Coast Family Medical |
Authorized official | Robinson, Randy |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 4th, 2008 |
Last updated | Dec 4th, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821233917 | NPPES |
Mississippi | MEDICAID | 09014940 |
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