<Unavail>

LBN: Harbin Clinic Llc
<Unavail> is an health care organization with primary practice located at 255 W 5Th St Sw , Rome GA 30165-2817. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Harbin Clinic Llc can be contacted via phone (706) 528-9096, or through Pledger, Todd via phone (762) 235-2440.

Contact Information

Primary practice address
255 W 5Th St Sw Rome GA 30165-2817
Phone: (706) 528-9096
Fax: (706) 528-9098
Website:
Map and Directions
Authorized official contact:
Name: Pledger, Todd
Phone: (762) 235-2440

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009742 Georgia

Profile Details

NPI number 1184923492
LBN Legal business name Harbin Clinic Llc
DBA Doing business as <Unavail>
Authorized official Pledger, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2011
Last updated Feb 5th, 2019 - about 7 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 1184923492 NPPES
Other 2128968 PK
MEDICAID 003112033A PK

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