Sam Fillingane Do

LBN: Fillingane Medical Clinic, Pa
Sam Fillingane Do is an health care organization with primary practice located at 1021 N Flowood Drive , Flowood MS 39232-9533. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fillingane Medical Clinic, Pa can be contacted via phone (601) 664-2424, or through Fillingane, Freida L via phone (601) 906-4175.

Contact Information

Primary practice address
1021 N Flowood Drive Flowood MS 39232-9533
Fax: (601) 664-6675
Website:
Authorized official contact:
Name: Fillingane, Freida L

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11114 Mississippi

Profile Details

NPI number 1386721546
LBN Legal business name Fillingane Medical Clinic, Pa
DBA Doing business as Sam Fillingane Do
Authorized official Fillingane, Freida L
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Jan 28th, 2011 - about 13 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 1386721546 NPPES
Mississippi MEDICAID 00116048

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