Gulf Coast Imaging

LBN: Gulf Coast Imaging
Gulf Coast Imaging is an health care organization with primary practice located at 14245 Dedeaux Rd , Gulfport MS 39503-3369. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gulf Coast Imaging can be contacted via phone (228) 314-7226, or through Henry, William O via phone (228) 314-7226.

Contact Information

Primary practice address
14245 Dedeaux Rd Gulfport MS 39503-3369
Phone: (228) 314-7226
Fax: (228) 314-7227
Website:
Map and Directions
Authorized official contact:
Name: Henry, William O Doctor of Medicine (MD)
Phone: (228) 314-7226

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1205850773
LBN Legal business name Gulf Coast Imaging
DBA Doing business as
Authorized official Henry, William O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Jan 24th, 2013 - about 12 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 1205850773 NPPES
Mississippi MEDICAID 10410
Mississippi MEDICAID 03733573
Mississippi Other 1154338879
Mississippi MEDICAID 16169

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