1457638082 NPI number — SINGING RIVER HEALTH SYSTEM

Table of content: (NPI 1457638082)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457638082 NPI number — SINGING RIVER HEALTH SYSTEM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SINGING RIVER HEALTH SYSTEM
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457638082
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/01/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
OCEAN SPRINGS HOSPITAL-PHARMACY
Provider Second Line Business Mailing Address:
3109 BIENVILLE AVE.
Provider Business Mailing Address City Name:
OCEAN SPRINGS
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39564
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
228-818-1155
Provider Business Mailing Address Fax Number:
228-818-2197

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3109 BIENVILLE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OCEAN SPRINGS
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39564-4361
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
228-818-3125
Provider Business Practice Location Address Fax Number:
228-818-3130
Provider Enumeration Date:
11/10/2011

Additional Information

Authorized Official

Authorized Official Last Name:
COLLAZO
Authorized Official First Name:
MADELLINE
Authorized Official Middle Name:
Authorized Official Title or Position:
SYSTEM DIRECTOR OF PHARMACY SE
Authorized Official Telephone Number:
228-818-2109

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X , with the licence number: 09222/ 1.1 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2132376 . This is a "PK" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com