Driftwood Nursing Center

LBN: Memorial Hospital At Gulfport
Driftwood Nursing Center is an health care organization with primary practice located at 1500 Broad Ave , Gulfport MS 39501-3601. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Memorial Hospital At Gulfport can be contacted via phone (228) 868-1314, or through Noonan, Peggy Lorraine via phone (228) 575-1740.

Contact Information

Primary practice address
1500 Broad Ave Gulfport MS 39501-3601
Phone: (228) 868-1314
Fax: (228) 863-8966
Website:
Map and Directions
Authorized official contact:
Name: Noonan, Peggy Lorraine BS, CPC
Phone: (228) 575-1740

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 193 Mississippi

Profile Details

NPI number 1801905310
LBN Legal business name Memorial Hospital At Gulfport
DBA Doing business as Driftwood Nursing Center
Authorized official Noonan, Peggy Lorraine BS, CPC
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 29th, 2006
Last updated Jan 9th, 2024 - about 10 months 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 1801905310 NPPES
Mississippi MEDICAID 0230135

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