GULF COAST MENTAL HEALTH CENTER – NPI #1417934175
Clinic/Center
GULF COAST MENTAL HEALTH CENTER is an AHC clinic located in GULFPORT, MS. NPPES has assigned the NPI number 1417934175 to GULF COAST MENTAL HEALTH CENTER on December 23, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)
The NPI profile was previously updated about 6 years ago on Sep 21, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GULF COAST MENTAL HEALTH CENTER below.
NPI Profile for
GULF COAST MENTAL HEALTH CENTER
(more than 20 years ago)
GULFPORT, MS 39501-3603 Phone: (228) 863-1132 Fax: (228) 865-1700
CFO
Phone: (228) 863-1132
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for GULF COAST MENTAL HEALTH CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | CENTER MEDICARE ID | MS | C00120 |
| OTHER | MOLINA MEDICAID | MS | QMP000005325798 |
| MEDICAID | MS | 00018213 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM0801X - Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary) |
||
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
MS | R-13-1 |
| 103TM1800X - Psychologist / Intellectual & Developmental Disabilities |
MS | REG13-SO-01 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.