South Coast Internists

LBN: Medical Foundation Of South Ms
South Coast Internists is an health care organization with primary practice located at 1340 Broad Ave Suite 310, Gulfport MS 39501-2418. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Medical Foundation Of South Ms can be contacted via phone (228) 864-6629, or through Robinson, Randy via phone (228) 865-1453.

Contact Information

Primary practice address
1340 Broad Ave Suite 310 Gulfport MS 39501-2418
Phone: (228) 864-6629
Fax: (228) 864-6669
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Randy
Phone: (228) 865-1453

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1922034073
LBN Legal business name Medical Foundation Of South Ms
DBA Doing business as South Coast Internists
Authorized official Robinson, Randy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 2nd, 2008 - about 16 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 1922034073 NPPES
Mississippi MEDICAID 05900013

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