East West Surgery Center Lp

LBN: East West Surgery Center Lp
East West Surgery Center Lp is an health care organization with primary practice located at 2041 Mesa Valley Way Ste 125, Austell GA 30106-6828. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. East West Surgery Center Lp can be contacted via phone (678) 309-8100, or through Moran, Jenetha D via phone (972) 763-3893.

Contact Information

Primary practice address
2041 Mesa Valley Way Ste 125 Austell GA 30106-6828
Fax: (678) 309-8101
Website:
Authorized official contact:
Name: Moran, Jenetha D

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 033202 Georgia

Profile Details

NPI number 1366444929
LBN Legal business name East West Surgery Center Lp
DBA Doing business as
Authorized official Moran, Jenetha D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2005
Last updated Nov 15th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366444929 NPPES
Georgia Other 327221 MEDICAID WELLCARE
Georgia Other 68-00053 MEDICAID WELLCARE
Georgia Other 7467086 MEDICAID WELLCARE
Georgia Other 490005006 MEDICAID WELLCARE
Georgia MEDICAID 00897047A MEDICAID WELLCARE
Georgia Other 2377093 MEDICAID WELLCARE
Georgia Other 51795413002 MEDICAID WELLCARE
Georgia Other 166-510-500 MEDICAID WELLCARE

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