LIBERTY DENTAL SERVICES – NPI #1659693083
Clinic/Center

LIBERTY DENTAL SERVICES is an AHC clinic located in LIBERTY, MS. NPPES has assigned the NPI number 1659693083 to LIBERTY DENTAL SERVICES on February 26, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LIBERTY DENTAL SERVICES” is a dba name, the actual legal business name for this organization is AMITE COUNTY MEDICAL SERVICES, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIBERTY DENTAL SERVICES below.

NPI Profile for
AMITE COUNTY MEDICAL SERVICES, INC.

NPI Number
1659693083
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMITE COUNTY MEDICAL SERVICES, INC.
Doing Business As (dba): LIBERTY DENTAL SERVICES
Primary location
102 WEST FREEDOM DRIVE
LIBERTY, MS 39645
Phone: (601) 657-1236 Fax: (601) 657-9181
Mailing address
PO BOX 511
LIBERTY, MS 39645-0511
Phone: (601) 657-1236 Fax: (601) 657-9181
Organization Subpart
No
Authorized Official
PAM POOLE
EXECUTIVE DIRECTOR
Phone: (601) 657-4326
Updated
Identifiers

Identifiers for LIBERTY DENTAL SERVICES

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS09015383
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.