Good Samaritan Physical Therapy,Inc.
LBN: Good Samaritan Physical Therapy,Inc.
Good Samaritan Physical Therapy,Inc. is an health care organization with primary practice located at 1901 Mission 66 Suite A, Vicksburg MS 39180-3711. The organization recently has 6 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) is the primary health care specialty.
Good Samaritan Physical Therapy,Inc. can be contacted via phone (601) 638-4076, or through Smith, Fermika via phone (601) 638-4076.
Contact Information
Primary practice address
1901 Mission 66 Suite A
Vicksburg MS 39180-3711
Phone: (601) 638-4076
Fax: (601) 638-4979
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Mississippi | |
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
Suppliers / Customized Equipment | 332BC3200X | ||
Suppliers / Nursing Facility Supplies | 332BN1400X | ||
Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | ||
Suppliers / Oxygen Equipment & Supplies | 332BX2000X |
Profile Details
NPI number | 1023087855 |
---|---|
LBN Legal business name | Good Samaritan Physical Therapy,Inc. |
DBA Doing business as | |
Authorized official | Smith, Fermika |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 15th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023087855 | NPPES |
Mississippi | Other | 000050976 | BLUE CROSS NUMBER |
Mississippi | MEDICAID | 1465739 | BLUE CROSS NUMBER |
Mississippi | MEDICAID | 09015117 | BLUE CROSS NUMBER |
Mississippi | Other | 4253810001 | BLUE CROSS NUMBER |
Mississippi | Other | 5429586 | BLUE CROSS NUMBER |
Mississippi | Other | 174112500 | BLUE CROSS NUMBER |
Mississippi | Other | 6430026 | BLUE CROSS NUMBER |
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