Oneonta Internal Medicine And Peds

LBN: Eastside Ventures, Inc.
Oneonta Internal Medicine And Peds is an health care organization with primary practice located at 150 Gilbreath Dr Suite 201, Oneonta AL 35121-2827. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Eastside Ventures, Inc. can be contacted via phone (205) 625-5711, or through Parks, Vicki H via phone (205) 838-3718.

Contact Information

Primary practice address
150 Gilbreath Dr Suite 201 Oneonta AL 35121-2827
Phone: (205) 625-5711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Parks, Vicki H CPA
Phone: (205) 838-3718

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1598899395
LBN Legal business name Eastside Ventures, Inc.
DBA Doing business as Oneonta Internal Medicine And Peds
Authorized official Parks, Vicki H CPA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Feb 3rd, 2011 - about 14 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 1598899395 NPPES
Alabama MEDICAID 529703050
Alabama Other E893

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