Gulf Coast Imaging, NPI 1205850773
Specialist in Gulfport, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1205850773
NPI Entity Type Organization
Provider Name Gulf Coast Imaging
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 14245 Dedeaux Rd, Gulfport, MS, US
Provider Mailing Address Po Box 2819, Gulfport, MS, US, 395052819
Is Sole Proprietor? No
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Organization Official

Official Name MD William O Henry
Official Position PRESIDENT
Phone 228-314-7226

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

174400000X

Taxonomy Name Specialist
Classification

Specialist

Group

Other Service Providers

Description An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

Gulf Coast Imaging
14245 Dedeaux Rd

Gulfport, MS, US

Phone: 228-314-7226
Fax: 228-314-7227

Mailing Address

Gulf Coast Imaging
Po Box 2819
Gulfport, MS, US
ZIP 395052819
Phone: 228-314-7226
Fax: 228-314-7227

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
10410 MS MEDICAID 05
03733573 MS MEDICAID 05
1154338879 DR DIANNA RAGULA 01
16169 MS MEDICAID 05

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IDD WAIVER SERVICES Pamela Mcandrews

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