institution
Good Samaritan Physical Therapy,inc.
Oxygen Equipment & Supplies (DME) in Vicksburg, Mississippi
NPI 1023087855

Good Samaritan Physical Therapy,inc. is a Oxygen Equipment & Supplies (DME) based in Vicksburg, MS and is specialized in Oxygen Equipment & Supplies. Good Samaritan Physical Therapy,inc. practices in Vicksburg, MS. The NPI Number for Good Samaritan Physical Therapy,inc. is 1023087855 and holds a License No. (Mississippi).

The current practice location address for Good Samaritan Physical Therapy,inc. is 1901 Mission 66, Vicksburg, MS and can be reached out via phone at 601-638-4076 and via fax at 601-638-4979. You can also correspond with Good Samaritan Physical Therapy,inc. through the mailing address at PO BOX 822394, VICKSBURG, MS - 39182-2394 (mailing address contact number: 601-638-4076).

Location: 1901 Mission 66, Vicksburg, MS, 39182-2394
institution
Provider Profile Details
NPI Number
1023087855
Provider Name
Good Samaritan Physical Therapy,inc.
Credential
Provider Entity Type
Organization
Address
1901 Mission 66, Vicksburg, MS, 39182-2394
Phone Number
601-638-4076
Fax Number
601-638-4979
Provider Enumeration Date
03/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000050976 01 MS BLUE CROSS NUMBER
1465739 05 LA
09015117 05 MS
4253810001 01 MS DME
5429586 01 MS AETNA PROVIDER NUMBER
174112500 01 MS OWCP
6430026 01 MS UNITED HEALTH CARE NUMBER
institution
Provider Business Practice Location Address Details
Address
1901 Mission 66
City
State
Zip
39180-3711
Phone Number
601-638-4076
Fax Number
601-638-4979
person
Provider Business Mailing Address Details
Address
Po Box 822394
City
State
Zip
39182-2394
Phone Number
601-638-4076
Fax Number
601-638-4979
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
License No.
(Mississippi)
Definition
Definition to come...
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