Lighthouse Pediatric & After Hours Clinic, Pa
LBN: Lighthouse Pediatric & After Hours Clinic, Pa
Lighthouse Pediatric & After Hours Clinic, Pa is an health care organization with primary practice located at 501 Springridge Rd , Clinton MS 39056-5633. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Lighthouse Pediatric & After Hours Clinic, Pa can be contacted via phone (601) 488-4171, or through Sims, Tammy Lashelle via phone (601) 488-4171.
Contact Information
Primary practice address
501 Springridge Rd
Clinton MS 39056-5633
Phone: (601) 488-4171
Fax: (601) 488-4175
Website:
Authorized official contact:
Name: Sims, Tammy Lashelle Doctor of Medicine (MD)
Phone: (601) 488-4171
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 16949 | Mississippi |
Profile Details
| NPI number | 1881945475 |
|---|---|
| LBN Legal business name | Lighthouse Pediatric & After Hours Clinic, Pa |
| DBA Doing business as | |
| Authorized official | Sims, Tammy Lashelle Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 24th, 2012 |
| Last updated | Sep 24th, 2012 - about 14 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 | 1881945475 | NPPES |
| Mississippi | MEDICAID | 04583552 |
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