MEDICARE: HEALTHCARE ENGINEERS

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	261Q00000X	Clinic/Center		MS

General Provider Information

NPI Number	:	1982703666
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE ENGINEERS

Provider Business Mailing Address
First Line	:	154 OAKDALE RD
Second Line	:
City	:	MADISON
State	:	MS
Zip	:	39110-9076
Country	:	US
Telephone Number	:	601-573-0386
Fax Number	:	601-856-8003

Provider Business Practice Location Address
First Line	:	414 E PASS RD
Second Line	:
City	:	GULFPORT
State	:	MS
Zip	:	39507-3236
Country	:	US
Telephone Number	:	601-573-0386
Fax Number	:	601-856-8003

Authorized Official
Title or Position	:	PARTNER
Name	:	MS. EDITH MELISSA HUTTO
Credential	:	RN
Telephone Number	:	601-573-0386

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	08/22/2020

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