Southside Internal Medicine-Pediatrics Llc
LBN: Southside Internal Medicine-Pediatrics Llc
Southside Internal Medicine-Pediatrics Llc is an health care organization with primary practice located at 204 Central Ave , Oil City PA 16301-2738. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Southside Internal Medicine-Pediatrics Llc can be contacted via phone (814) 677-4045, or through Anderson, Donna M via phone (814) 677-4045.
Contact Information
Primary practice address
204 Central Ave
Oil City PA 16301-2738
Phone: (814) 677-4045
Fax: (814) 676-2364
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD072420L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD072420L | Pennsylvania |
Profile Details
| NPI number | 1184729071 |
|---|---|
| LBN Legal business name | Southside Internal Medicine-Pediatrics Llc |
| DBA Doing business as | |
| Authorized official | Anderson, Donna M Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Nov 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184729071 | NPPES |
| Pennsylvania | MEDICAID | 0018239070003 |
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