MEDICARE: HARRISON HMA, INC.

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	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1265486492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRISON HMA, INC.

Provider Business Mailing Address
First Line	:	180A DEBUYS RD
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39531-4402
Country	:	US
Telephone Number	:	228-388-6711
Fax Number	:	228-388-0358

Provider Business Practice Location Address
First Line	:	180A DEBUYS RD
Second Line	:
City	:	BILOXI
State	:	MS
Zip	:	39531-4402
Country	:	US
Telephone Number	:	228-388-6711
Fax Number	:	228-388-0358

Authorized Official
Title or Position	:	SR VP AND GENERAL COUNSEL
Name	:	TIMORTHY PARRY
Credential	:	ESQ.
Telephone Number	:	239-598-3176

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	02/17/2009

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Directions to “HARRISON HMA, INC. ” Practice Location

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