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
Fax: (731) 215-2318
Website:
Authorized official contact:
Name: Ortega, Maria Teresa Family Nurse Practitioner (FNP)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588964811 NPPES
Tennessee MEDICAID 1519182

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