Patton Medical Of The Gulf Coast Inc

LBN: Patton Medical Of The Gulf Coast Inc
Patton Medical Of The Gulf Coast Inc is an health care organization with primary practice located at 3002 Bienville Blvd Suite C, Ocean Springs MS 39564-4354. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Patton Medical Of The Gulf Coast Inc can be contacted via phone (228) 872-8685, or through Wade, William Keith via phone (228) 872-8685.

Contact Information

Primary practice address
3002 Bienville Blvd Suite C Ocean Springs MS 39564-4354
Phone: (228) 872-8685
Fax: (228) 872-8685
Website:
Map and Directions
Authorized official contact:
Name: Wade, William Keith
Phone: (228) 872-8685

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1063440584
LBN Legal business name Patton Medical Of The Gulf Coast Inc
DBA Doing business as Patton Medical Of The Gulf Coast Inc
Authorized official Wade, William Keith
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 5th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063440584 NPPES
Georgia MEDICAID 809654934A
Georgia MEDICAID 00440743

Popular Providers