Eastside Medical Center

LBN: Eastside Medical Center, Llc
Eastside Medical Center is an health care organization with primary practice located at 1700 Medical Way , Snellville GA 30078-2195. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Eastside Medical Center, Llc can be contacted via phone (770) 979-0200, or through Wheeler, Amy N. via phone (770) 736-2420.

Contact Information

Primary practice address
1700 Medical Way Snellville GA 30078-2195
Phone: (770) 979-0200
Fax: (770) 736-2395
Website:
Map and Directions
Authorized official contact:
Name: Wheeler, Amy N.
Phone: (770) 736-2420

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1649224692
LBN Legal business name Eastside Medical Center, Llc
DBA Doing business as Eastside Medical Center
Authorized official Wheeler, Amy N.
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Jan 24th, 2017 - about 8 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 1649224692 NPPES
Michigan MEDICAID 404383429

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