Good Samaritan Family Walk-In Clinic, Llc
LBN: Good Samaritan Family Walk-In Clinic, Llc
Good Samaritan Family Walk-In Clinic, Llc is an health care organization with primary practice located at 1869 Highway 45 Byp Suite 4, Jackson TN 38305-2464. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Good Samaritan Family Walk-In Clinic, Llc can be contacted via phone (731) 215-2277, or through Ortega, Maria Teresa via phone (731) 215-2277.
Contact Information
Primary practice address
1869 Highway 45 Byp Suite 4
Jackson TN 38305-2464
Phone: (731) 215-2277
Fax: (731) 215-2318
Website:
Authorized official contact:
Name: Ortega, Maria Teresa Family Nurse Practitioner (FNP)
Phone: (731) 215-2277
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Health Service | 261QH0100X | 10533 | Tennessee |
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | 10533 | Tennessee |
Profile Details
NPI number | 1588964811 |
---|---|
LBN Legal business name | Good Samaritan Family Walk-In Clinic, Llc |
DBA Doing business as | |
Authorized official | Ortega, Maria Teresa Family Nurse Practitioner (FNP) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 3rd, 2010 |
Last updated | Nov 3rd, 2010 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588964811 | NPPES |
Tennessee | MEDICAID | 1519182 |
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