Pineland Mh/Mr/Sa Csb in Statesboro - Clinic/center

Pineland Mh/Mr/Sa Csb - NPI 1760658587

Pineland Mh/Mr/Sa Csb is a Clinic/center in Statesboro, Georgia. Pineland Mh/Mr/Sa Csb practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Pineland Mh/Mr/Sa Csb is 1760658587. The last update date is 2008-05-01.

Pineland Mh/Mr/Sa Csb's current location address is 5 W Altman St, Statesboro, Georgia. You can contact this provider via phone number 9127646906 and fax number 9127643252. The mailing address for Pineland Mh/Mr/Sa Csb is 5 W Altman St, Statesboro, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pineland Mh/Mr/Sa Csb
Address 5 W Altman St, Statesboro, Georgia
Phone Number 9127646906
Fax Number 9127643252
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Dipolito A June
Telephone Number 9127646906

NPI Number Detail

NPI Number 1760658587
Provider Enumeration Date 2008-05-01
Last Updated Date 2008-05-01

Provider Mailing Address Detail

Address 5 W Altman St
City Statesboro
State Georgia (GA)
Post Code 304585212
Phone Number 9127646906
Fax Number 9127643252

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No LPN068072
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

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FAQs about Pineland Mh/Mr/Sa Csb

What is the unique identifier code issued to Pineland Mh/Mr/Sa Csb by the Centers for Medicare & Medicaid Services?

The Pineland Mh/Mr/Sa Csb has been assigned the NPI (National Provider Identifier) 1760658587. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Pineland Mh/Mr/Sa Csb located?

The Pineland Mh/Mr/Sa Csb is located at 5 W Altman St, Statesboro, GA 304585212.

What is Pineland Mh/Mr/Sa Csb's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Pineland Mh/Mr/Sa Csb is Clinic/center, and the taxonomy classification code that categorizes this area of expertise is 261Q00000X.

On what date was the 1760658587 assigned to Pineland Mh/Mr/Sa Csb?

The Pineland Mh/Mr/Sa Csb was issued its 1760658587 on 2008-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Pineland Mh/Mr/Sa Csb's information last updated?

The Pineland Mh/Mr/Sa Csb's information was last updated on 2008-05-01.

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