House Calls Of Coastal Georgia, Pc
LBN: House Calls Of Coastal Georgia, Pc
House Calls Of Coastal Georgia, Pc is an health care organization with primary practice located at 811 Sand Dollar Trce , St Simons Island GA 31522-3761. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
House Calls Of Coastal Georgia, Pc can be contacted via phone (912) 580-6913, or through Osta, Ismael Salim via phone (912) 581-6913.
Contact Information
Primary practice address
811 Sand Dollar Trce
St Simons Island GA 31522-3761
Phone: (912) 580-6913
Fax: (912) 265-2859
Website:
Authorized official contact:
Name: Osta, Ismael Salim Physician's Assistant Certified (PA-C)
Phone: (912) 581-6913
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 15631 |
Profile Details
| NPI number | 1134467533 |
|---|---|
| LBN Legal business name | House Calls Of Coastal Georgia, Pc |
| DBA Doing business as | |
| Authorized official | Osta, Ismael Salim Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 21st, 2013 |
| Last updated | Sep 19th, 2013 - about 12 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 | 1134467533 | NPPES |
| Georgia | MEDICAID | 021787368C | |
| Georgia | MEDICAID | 00069297A3 |
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