Shiloh Ridge Athletic Club

LBN: Shiloh Ridge Athletic Club
Shiloh Ridge Athletic Club is an health care organization with primary practice located at 3303 Shiloh Ridge Rd , Corinth MS 38834-9698. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Shiloh Ridge Athletic Club can be contacted via phone (662) 287-5662, or through Boutin, Kevin via phone (662) 287-5662.

Contact Information

Primary practice address
3303 Shiloh Ridge Rd Corinth MS 38834-9698
Phone: (662) 287-5662
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boutin, Kevin
Phone: (662) 287-5662

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1205061173
LBN Legal business name Shiloh Ridge Athletic Club
DBA Doing business as
Authorized official Boutin, Kevin
Entity Organization
Organization subpart 1 Yes
Enumeration date May 21st, 2009
Last updated May 21st, 2009 - about 15 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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