SINGING RIVER GULFPORT (NPI# 1639797913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639797913 |
| Entity Type | Organization |
| Organization Name | SINGING RIVER GULFPORT |
| Practice Address |
15200 Community Rd Gulfport MS 39503-3085 |
| Mailing Address |
2101 Highway 90 Gautier MS 39553-5340 |
| Practice Telephone | 2285757000 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | CHARLIE BRINKLEY III (CFO) |
| Authorized Official Telephone | 2284977597 |
| Is Organization Subpart | Y |
| Parent Organization Name | SINGING RIVER HEALTH SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414115 | Singing River Gulfport | Psychiatric Unit | 15200 Community Rd, Gulfport, MS 39503-3085 | 2020-07-13 |
| 1861010159 | Singing River Gulfport | Clinic/Center | 15190 Community Rd, Gulfport, MS 39503-3485 | 2020-07-13 |
| Street Address |
15200 COMMUNITY RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043288541 | Glen Michael Cavalier | Nurse Anesthetist, Certified Registered | 15200 Community Rd, Gulfport, MS 39503-3085 | 2006-03-09 |
| 1023629847 | Ariel Nicole Fore | Nurse Practitioner | 15200 Community Rd, Gulfport, MS 39503-3085 | 2020-08-14 |
| 1801414115 | Singing River Gulfport | Psychiatric Unit | 15200 Community Rd, Gulfport, MS 39503-3085 | 2020-07-13 |
| 1972071611 | Jessica Irene Strunk | Nurse Practitioner | 15200 Community Rd, Gulfport, MS 39503-3085 | 2018-11-12 |
| 1326558388 | Jeremy Lynn Remillard | Nurse Practitioner | 15200 Community Rd, Gulfport, MS 39503-3085 | 2017-10-04 |
| 1285155614 | Truong Vu Nguyen | Nurse Practitioner | 15200 Community Rd, Gulfport, MS 39503-3085 | 2017-07-06 |
| 1083158307 | Wesley Armstrong | Physician Assistant | 15200 Community Rd, Gulfport, MS 39503-3085 | 2016-12-05 |
| 1649647256 | Jennifer Duncan | Nurse Practitioner | 15200 Community Rd, Gulfport, MS 39503-3085 | 2015-08-31 |
| 1497131791 | Keystone Hospitalist Services of Gulfport Inc | Hospitalist | 15200 Community Rd, Gulfport, MS 39503-3085 | 2015-08-10 |
| 1881070183 | Keystone Medical Services of Gulfport, Inc. | Emergency Medicine | 15200 Community Rd, Gulfport, MS 39503-3085 | 2015-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376153023 | Memorial Hospital At Gulfport | General Acute Care Hospital | 1206 31st Ave, Gulfport, MS 39501-1804 | 2020-08-07 |
| 1952651788 | Memorial Hospital | General Acute Care Hospital | 4500 13th St, Gulfport, MS 39501-2515 | 2012-09-19 |
| 1437415411 | Memorial Hospital At Gulfport | General Acute Care Hospital | 4500 13th St, Gulfport, MS 39501-2515 | 2012-04-04 |
| 1780968420 | Memorial Hospital At Gulfport | General Acute Care Hospital | 4500 13th St, Gulfport, MS 39501-2515 | 2011-09-29 |
| 1447378625 | Memorial Hospital At Gulfport | General Acute Care Hospital | 4500 13th St, Gulfport, MS 39501-2515 | 2007-03-27 |
| 1053441162 | Memorial Hospital At Gulfport | General Acute Care Hospital | 4500 13th St, Gulfport, MS 39501-2515 | 2007-03-07 |
| 1154451128 | Memorial Hospital At Gulfport | General Acute Care Hospital | 4500 13th St, Gulfport, MS 39501-2515 | 2007-03-07 |
| 1538299920 | Memorial Hospital At Gulfport | General Acute Care Hospital | 4500 13th St, Gulfport, MS 39501-2515 | 2007-03-06 |
| 1518097807 | Memorial Hospital At Gulfport | General Acute Care Hospital | 4500 13th St, Gulfport, MS 39501-2515 | 2007-03-06 |
| 1073606901 | Memorial Hospital At Gulfport | General Acute Care Hospital | 4500 13th St, Gulfport, MS 39501-2515 | 2006-10-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.