Good Samaritan Pediatrics Specialists

LBN: Good Samaritan Pediatrics Specialists
Good Samaritan Pediatrics Specialists is an health care organization with primary practice located at 4290 Lakeland Dr Suite B, Flowood MS 39232-9571. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Good Samaritan Pediatrics Specialists can be contacted via phone (601) 638-4076, or through Smith, Fermika via phone (601) 638-4076.

Contact Information

Primary practice address
4290 Lakeland Dr Suite B Flowood MS 39232-9571
Phone: (601) 638-4076
Fax: (601) 638-4979
Website:
Map and Directions
Authorized official contact:
Name: Smith, Fermika
Phone: (601) 638-4076

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X Mississippi

Profile Details

NPI number 1669542353
LBN Legal business name Good Samaritan Pediatrics Specialists
DBA Doing business as
Authorized official Smith, Fermika
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669542353 NPPES
Mississippi MEDICAID 03675793

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