Phillips Medical Corporation

LBN: Phillips Medical Corporation
Phillips Medical Corporation is an health care organization with primary practice located at 607 Fleming Ln , Minden LA 71055-3073. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Phillips Medical Corporation can be contacted via phone (318) 371-2229, or through Phillips, Elizabeth Fullerton via phone (318) 371-2229.

Contact Information

Primary practice address
607 Fleming Ln Minden LA 71055-3073
Fax: (318) 371-2228
Website:
Authorized official contact:
Name: Phillips, Elizabeth Fullerton Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1104987536
LBN Legal business name Phillips Medical Corporation
DBA Doing business as
Authorized official Phillips, Elizabeth Fullerton Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated May 13th, 2021 - about 5 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 1104987536 NPPES
Louisiana MEDICAID 1537683

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