GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC; NPI #1639442726

Contact Information

GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC

100 WILBURN WAY
STARKVILLE, MS 39759-3692

Phone: 662-320-4008
Fax: 662-323-6007
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gerontology	364SG0600X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC

NPI Number 1639442726

LBN Legal business name GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC

Authorized official MARY SMITH - (MANAGING PARTNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/20/2012

Last updated 02/20/2012 - About 14 years ago

Identifiers

License #

R850904

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC

Contact Information

Specialty

Gerontology

NPI Profile & details for GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC

Reviews for GOLDEN TRIANGLE GERIATRIC COLLABORATIVE, LLC