Psa Healthcare

LBN: Pediatric Services Of America, Inc
Psa Healthcare is an health care organization with primary practice located at 1120 W Broad Ave Unit B-1, Albany GA 31707-4397. The organization recently has only one registered license in Agencies / Nursing Care, which is considered as the primary health care specialty. Pediatric Services Of America, Inc can be contacted via phone (229) 435-3387, or through Valentine, Dale via phone (770) 248-8757.

Contact Information

Primary practice address
1120 W Broad Ave Unit B-1 Albany GA 31707-4397
Phone: (229) 435-3387
Fax: (229) 435-3847
Website:
Map and Directions
Authorized official contact:
Name: Valentine, Dale
Phone: (770) 248-8757

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X 047-R-0377 Georgia

Profile Details

NPI number 1760671572
LBN Legal business name Pediatric Services Of America, Inc
DBA Doing business as Psa Healthcare
Authorized official Valentine, Dale
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2007
Last updated Jul 21st, 2008 - about 16 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 1760671572 NPPES
Georgia MEDICAID 538807248C

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