Organization · Type 2 NPI

Good Samaritan Physical Therapy,inc.

Comprehensive Outpatient Rehabilitation Facility (CORF) · Vicksburg, MS

NPI number 1023087855 Active

Practice location

1901 Mission 66, Suite A
Vicksburg, MS 39180-3711

Fax (601) 638-4979

Mailing address

PO Box 822394
Vicksburg, MS 39182-2394

Specialties and licenses

TaxonomyCodeLicense
Comprehensive Outpatient Rehabilitation Facility (CORF) Primary 261QR0401XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed
Customized Equipment (DME) 332BC3200XNone listed
Nursing Facility Supplies (DME) 332BN1400XNone listed
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500XNone listed
Oxygen Equipment & Supplies (DME) 332BX2000XNone listed

Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...

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About NPI 1023087855

Good Samaritan Physical Therapy,inc.'s National Provider Identifier is 1023087855, issued on Mar 15, 2006. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Vicksburg, MS. The record was last updated on Jul 21, 2022.