Pediatric & Adolescent Clinic

LBN: David Alan Timm
Pediatric & Adolescent Clinic is an health care organization with primary practice located at 308 Highland Blvd , Natchez MS 39120-4611. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. David Alan Timm can be contacted via phone (601) 442-7676, or through Timm, David Alan via phone (601) 442-7676.

Contact Information

Primary practice address
308 Highland Blvd Natchez MS 39120-4611
Phone: (601) 442-7676
Fax: (601) 442-9590
Website:
Map and Directions
Authorized official contact:
Name: Timm, David Alan Doctor of Medicine (MD)
Phone: (601) 442-7676

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C5115 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10207 Mississippi
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 016299 Louisiana
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R691941 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN066376 APO4870 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R863841 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN109495 APO04933 Louisiana

Profile Details

NPI number 1174608020
LBN Legal business name David Alan Timm
DBA Doing business as Pediatric & Adolescent Clinic
Authorized official Timm, David Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Jan 2nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174608020 NPPES
Louisiana MEDICAID 1446009
Louisiana MEDICAID 09015251

Popular Providers