Organization · Type 2 NPI

Gulf Coast Interventional Pain Management Clinic, Inc

Point of Service · Gulfport, MS

NPI number 1184049561 Active

Practice location

11010 David St, Suite B
Gulfport, MS 39503-3481

Call (228) 284-1642 Map

Fax (228) 284-1643

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000X18456 (MS)
Point of Service 305S00000XBM8022149 (MS)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

15 other providers at this address

About NPI 1184049561

Gulf Coast Interventional Pain Management Clinic, Inc's National Provider Identifier is 1184049561, issued on Feb 21, 2014. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Gulfport, MS. The record was last updated on Feb 21, 2014.