Samuel L. Church, Md, Pc
LBN: Samuel L. Church, Md, Pc
Samuel L. Church, Md, Pc is an health care organization with primary practice located at 85 Seasons Lane , Hiawassee GA 30546. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Managed Care Organizations / Preferred Provider Organization. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Samuel L. Church, Md, Pc can be contacted via phone (706) 896-0505, or through Church, Samuel L via phone (706) 896-0505.
Contact Information
Primary practice address
85 Seasons Lane
Hiawassee GA 30546
Phone: (706) 896-0505
Fax: (866) 796-2502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 048990 | Georgia |
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 048990 | Georgia |
Profile Details
| NPI number | 1023153244 |
|---|---|
| LBN Legal business name | Samuel L. Church, Md, Pc |
| DBA Doing business as | |
| Authorized official | Church, Samuel L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Feb 29th, 2016 - about 8 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 | 1023153244 | NPPES |
| Georgia | MEDICAID | 000901271D | |
| Georgia | MEDICAID | 89066J3 |
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