MEDICARE: DR. HALVOR HEM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	16075	MS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00651246	OTHER	MS	RAILROAD MEDICARE
2	110173510	OTHER	MS	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124133400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HALVOR HEM M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1810
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39502-1810
Country	:	US
Telephone Number	:	228-868-4287
Fax Number	:	228-868-4293

Provider Business Practice Location Address
First Line	:	5120 BEATLINE RD
Second Line	:
City	:	LONG BEACH
State	:	MS
Zip	:	39560-3815
Country	:	US
Telephone Number	:	228-864-8454
Fax Number	:	228-865-1457

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	07/10/2014

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Directions to “ DR. HALVOR HEM M.D.” Practice Location

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