Gulf Coast Integrative Health, Inc | |
1800 Government St Ocean Springs MS 39564-3931 | |
(225) 254-9589 | |
(225) 208-7267 |
Full Name | Gulf Coast Integrative Health, Inc |
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Speciality | Family Medicine |
Location | 1800 Government St, Ocean Springs, Mississippi |
Authorized Official Name and Position | Cristy Stibal (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 2088211032 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gulf Coast Integrative Health, Inc 37283 Swamp Rd Ste 803 Prairieville LA 70769-3329 Ph: (225) 254-9589 | Gulf Coast Integrative Health, Inc 1800 Government St Ocean Springs MS 39564-3931 Ph: (225) 254-9589 |
NPI Number | 1730870544 |
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Provider Enumeration Date | 05/15/2023 |
Last Update Date | 06/05/2023 |
Certification Date | 06/05/2023 |
Medicare PECOS PAC ID | 1254798911 |
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Medicare Enrollment ID | O20230612001557 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730870544 | NPI | - | NPPES |
Provider Name | Benjamin Prince |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861926461 PECOS PAC ID: 2668802844 Enrollment ID: I20230622001267 |
Provider Name | Saraya Yvonne Braun |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306531413 PECOS PAC ID: 9830550359 Enrollment ID: I20230801000991 |
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