Memorial Health Richmond Hill

LBN: Mppg, Inc.
Memorial Health Richmond Hill is an health care organization with primary practice located at 3776 Us Highway 17 , Richmond Hill GA 31324-3378. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Mppg, Inc. can be contacted via phone (912) 350-7020, or through Holmes Gibson, Sebrena via phone (912) 350-9335.

Contact Information

Primary practice address
3776 Us Highway 17 Richmond Hill GA 31324-3378
Phone: (912) 350-7020
Fax: (912) 459-0064
Website:
Map and Directions
Authorized official contact:
Name: Holmes Gibson, Sebrena
Phone: (912) 350-9335

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1891861548
LBN Legal business name Mppg, Inc.
DBA Doing business as Memorial Health Richmond Hill
Authorized official Holmes Gibson, Sebrena
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2006
Last updated Jun 20th, 2016 - about 10 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 1891861548 NPPES
Georgia MEDICAID 3000031676A
Georgia Other CH5121
Georgia Other 085001150G

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