Good Samaritan Health Center Of Cobb
LBN: Good Samaritan Health Center Of Cobb
Good Samaritan Health Center Of Cobb is an health care organization with primary practice located at 1605 Roberta Dr Sw , Marietta GA 30008-3855. The organization recently has 2 registered licenses in different health care specialties including Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Good Samaritan Health Center Of Cobb can be contacted via phone (404) 937-3850, or through Mathisen, Rory via phone (251) 751-2021.
Contact Information
Primary practice address
1605 Roberta Dr Sw
Marietta GA 30008-3855
Phone: (404) 937-3850
Fax: (770) 419-3121
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Voluntary or Charitable | 251V00000X | 054389 | Georgia |
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Georgia |
Profile Details
NPI number | 1881923126 |
---|---|
LBN Legal business name | Good Samaritan Health Center Of Cobb |
DBA Doing business as | |
Authorized official | Mathisen, Rory MPH |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 16th, 2009 |
Last updated | Sep 23rd, 2022 - about 2 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 | 1881923126 | NPPES |
Other | 202G703251 | MEDICARE PART B | |
MEDICAID | 01000654 | MEDICARE PART B | |
Other | 08BBRXN | MEDICARE PART B | |
MEDICAID | 003151808A | MEDICARE PART B | |
Other | 111043 | MEDICARE PART B |
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