GULFPORT DIV (178)    INSTITUTION (4)

Name Value
NAME GULFPORT DIV
STATE MISSISSIPPI
STREET ADDR. 1 200 E Beach Blvd
CITY GULFPORT
ZIP 39507
OFFICIAL VA NAME GULFPORT VAMC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME GULFPORT VAMC PHARMACY
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1265481477
TAXONOMY CODE
  • Hospitals
    PRIMARY CODE:   YES
    STATUS:   ACTIVE
LOCATION TIMEZONE CENTRAL
COUNTRY USA
POINTER TO AGENCY VA
STATION NUMBER 520A0
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1265481477
  • CODING SYSTEM:   VASTANUM
    ID:   520A0