Pediatric & Adolescent Clinic
LBN: David Alan Timm
Pediatric & Adolescent Clinic is an health care organization with primary practice located at 308 Highland Blvd , Natchez MS 39120-4611. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
David Alan Timm can be contacted via phone (601) 442-7676, or through Timm, David Alan via phone (601) 442-7676.
Contact Information
Primary practice address
308 Highland Blvd
Natchez MS 39120-4611
Phone: (601) 442-7676
Fax: (601) 442-9590
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C5115 | Mississippi |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 10207 | Mississippi |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 016299 | Louisiana |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R691941 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN066376 APO4870 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R863841 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN109495 APO04933 | Louisiana |
Profile Details
| NPI number | 1174608020 |
|---|---|
| LBN Legal business name | David Alan Timm |
| DBA Doing business as | Pediatric & Adolescent Clinic |
| Authorized official | Timm, David Alan Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Jan 2nd, 2008 - about 18 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 | 1174608020 | NPPES |
| Louisiana | MEDICAID | 1446009 | |
| Louisiana | MEDICAID | 09015251 |
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