Good Shepherd Glenn-Garrett Clinic - Jefferson
LBN: Good Shepherd Medical Center - Linden, Inc
Good Shepherd Glenn-Garrett Clinic - Jefferson is an health care organization with primary practice located at 903 N Walcott St , Jefferson TX 75657-1128. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty.
Good Shepherd Medical Center - Linden, Inc can be contacted via phone (903) 665-9500, or through Banos, Ed D via phone (903) 315-1811.
Contact Information
Primary practice address
903 N Walcott St
Jefferson TX 75657-1128
Phone: (903) 665-9500
Fax: (903) 665-9501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1114985876 |
|---|---|
| LBN Legal business name | Good Shepherd Medical Center - Linden, Inc |
| DBA Doing business as | Good Shepherd Glenn-Garrett Clinic - Jefferson |
| Authorized official | Banos, Ed D |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 26th, 2011 - about 14 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 | 1114985876 | NPPES |
| Other | 0504760001 | DME | |
| Other | 00H878 | DME | |
| Other | 127650 | DME | |
| MEDICAID | 130943706 | DME | |
| Other | CP3371 | DME |
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