Garden Park Physician Group Inc

LBN: Garden Park Physician Group Inc
Garden Park Physician Group Inc is an health care organization with primary practice located at 416 E Pass Rd , Gulfport MS 39507-3236. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Garden Park Physician Group Inc can be contacted via phone (228) 896-6505, or through Joseph, Louis R. via phone (615) 373-7600.

Contact Information

Primary practice address
416 E Pass Rd Gulfport MS 39507-3236
Phone: (228) 896-6505
Fax: (228) 896-6509
Website:
Map and Directions
Authorized official contact:
Name: Joseph, Louis R.
Phone: (615) 373-7600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1285660688
LBN Legal business name Garden Park Physician Group Inc
DBA Doing business as
Authorized official Joseph, Louis R.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2006
Last updated Mar 15th, 2013 - about 12 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 1285660688 NPPES
Mississippi MEDICAID 09016021
Mississippi MEDICAID 1285660688
Mississippi MEDICAID 01622395
Mississippi MEDICAID 05826810
Mississippi MEDICAID 08838517
Mississippi MEDICAID 09016020
Mississippi MEDICAID 09106019

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