GLOSTER DENTAL SERVICES – NPI #1700108578
Clinic/Center

GLOSTER DENTAL SERVICES is an AHC clinic located in GLOSTER, MS. NPPES has assigned the NPI number 1700108578 to GLOSTER DENTAL SERVICES on February 22, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GLOSTER 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 GLOSTER DENTAL SERVICES below.

NPI Profile for
AMITE COUNTY MEDICAL SERVICES, INC.

NPI Number
1700108578
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): GLOSTER DENTAL SERVICES
Primary location
253 EAST MAIN STREET
GLOSTER, MS 39638
Phone: (601) 225-4119 Fax: (601) 225-4620
Mailing address
PO BOX 427
GLOSTER, MS 39638-0427
Phone: (601) 225-4119 Fax: (601) 225-4620
Organization Subpart
No
Authorized Official
PAM POOLE
EXECUTIVE DIRECTOR
Phone: (601) 657-4326
Updated
Identifiers

Identifiers for GLOSTER 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
MEDICAIDMS09013203
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.