Good Samaritan Physical Therapy,Inc.

LBN: Good Samaritan Physical Therapy,Inc.
Good Samaritan Physical Therapy,Inc. is an health care organization with primary practice located at 1901 Mission 66 Suite A, Vicksburg MS 39180-3711. The organization recently has 6 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) is the primary health care specialty. Good Samaritan Physical Therapy,Inc. can be contacted via phone (601) 638-4076, or through Smith, Fermika via phone (601) 638-4076.

Contact Information

Primary practice address
1901 Mission 66 Suite A Vicksburg MS 39180-3711
Phone: (601) 638-4076
Fax: (601) 638-4979
Website:
Map and Directions
Authorized official contact:
Name: Smith, Fermika
Phone: (601) 638-4076

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Mississippi
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X
Suppliers / Nursing Facility Supplies 332BN1400X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1023087855
LBN Legal business name Good Samaritan Physical Therapy,Inc.
DBA Doing business as
Authorized official Smith, Fermika
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Jul 21st, 2022 - about 3 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 1023087855 NPPES
Mississippi Other 000050976 BLUE CROSS NUMBER
Mississippi MEDICAID 1465739 BLUE CROSS NUMBER
Mississippi MEDICAID 09015117 BLUE CROSS NUMBER
Mississippi Other 4253810001 BLUE CROSS NUMBER
Mississippi Other 5429586 BLUE CROSS NUMBER
Mississippi Other 174112500 BLUE CROSS NUMBER
Mississippi Other 6430026 BLUE CROSS NUMBER

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