Gulf Coast Mental Health Center

LBN: Gulf Coast Mental Health Center
Gulf Coast Mental Health Center is an health care organization with primary practice located at 1600 Broad Ave , Gulfport MS 39501-3603. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Gulf Coast Mental Health Center can be contacted via phone (228) 863-1132, or through Jones, Mary E via phone (228) 863-1132.

Contact Information

Primary practice address
1600 Broad Ave Gulfport MS 39501-3603
Phone: (228) 863-1132
Fax: (228) 865-1700
Website:
Map and Directions
Authorized official contact:
Name: Jones, Mary E CPA
Phone: (228) 863-1132

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X REG13-SO-01 Mississippi
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X R-13-1 Mississippi

Profile Details

NPI number 1417934175
LBN Legal business name Gulf Coast Mental Health Center
DBA Doing business as Gulf Coast Mental Health Center
Authorized official Jones, Mary E CPA
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2005
Last updated Sep 21st, 2020 - about 5 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 1417934175 NPPES
Mississippi Other C00120 CENTER MEDICARE ID
Mississippi MEDICAID 00018213 CENTER MEDICARE ID
Mississippi Other QMP000005325798 CENTER MEDICARE ID

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