Ridgewood Clinics Pa

LBN: Ridgewood Clinics Pa
Ridgewood Clinics Pa is an health care organization with primary practice located at 1059 Ridgewood Clinic , Jackson MS 39211. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Ridgewood Clinics Pa can be contacted via phone (601) 957-3211, or through Gupta, Krishan K. via phone (601) 957-3211.

Contact Information

Primary practice address
1059 Ridgewood Clinic Jackson MS 39211
Phone: (601) 957-3211
Fax: (601) 957-9753
Website:
Map and Directions
Authorized official contact:
Name: Gupta, Krishan K. Doctor of Medicine (MD)
Phone: (601) 957-3211

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 12941 Mississippi

Profile Details

NPI number 1023233749
LBN Legal business name Ridgewood Clinics Pa
DBA Doing business as
Authorized official Gupta, Krishan K. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Aug 27th, 2014 - about 10 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 1023233749 NPPES
Mississippi MEDICAID 09013996

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