Clayton Outpatient Surgical Center
LBN: Clayton Outpatient Surgical Center
Clayton Outpatient Surgical Center is an health care organization with primary practice located at 6911 Tara Blvd Suite 104, Jonesboro GA 30236-1503. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Clayton Outpatient Surgical Center can be contacted via phone (770) 477-9535, or through Kalish, Stanley via phone (770) 477-9535.
Contact Information
Primary practice address
6911 Tara Blvd Suite 104
Jonesboro GA 30236-1503
Phone: (770) 477-9535
Fax: (770) 471-7826
Website:
Authorized official contact:
Name: Kalish, Stanley Doctor of Podiatric Medicine (DPM)
Phone: (770) 477-9535
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 031-070 | Georgia |
Profile Details
| NPI number | 1538166012 |
|---|---|
| LBN Legal business name | Clayton Outpatient Surgical Center |
| DBA Doing business as | |
| Authorized official | Kalish, Stanley Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Aug 12th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538166012 | NPPES |
| Georgia | MEDICAID | 00649833A | |
| Georgia | Other | 490002632 |
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