Emergency Medicine South Llc

LBN: Emergency Medicine South Llc
Emergency Medicine South Llc is an health care organization with primary practice located at 2501 N Patterson St , Valdosta GA 31602. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Emergency Care. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Emergency Medicine South Llc can be contacted via phone (229) 333-1000, or through Klebosits, Pam via phone (229) 259-4660.

Contact Information

Primary practice address
2501 N Patterson St Valdosta GA 31602
Phone: (229) 333-1000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Klebosits, Pam
Phone: (229) 259-4660

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Ambulatory Health Care Facilities / Emergency Care 261QE0002X

Profile Details

NPI number 1194785170
LBN Legal business name Emergency Medicine South Llc
DBA Doing business as
Authorized official Klebosits, Pam
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2006
Last updated Dec 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194785170 NPPES
Florida MEDICAID 258338100
Florida MEDICAID 300033708A
Florida Other 158191000
Florida Other 5272824401
Florida MEDICAID 256338100

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