Gulf South Surgery Center Llc

LBN: Gulf South Surgery Center Llc
Gulf South Surgery Center Llc is an health care organization with primary practice located at 1206 31St Ave , Gulfport MS 39501-1804. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Gulf South Surgery Center Llc can be contacted via phone (228) 864-0008, or through Smith, Jason via phone (228) 818-0563.

Contact Information

Primary practice address
1206 31St Ave Gulfport MS 39501-1804
Phone: (228) 864-0008
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Jason Doctor of Medicine (MD)
Phone: (228) 818-0563

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 002 Mississippi

Profile Details

NPI number 1154360501
LBN Legal business name Gulf South Surgery Center Llc
DBA Doing business as
Authorized official Smith, Jason Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1154360501 NPPES
Mississippi MEDICAID 04608029
Mississippi Other 000050762
Mississippi Other 362773700
Mississippi Other P00064348

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