Judith Ruth Medical Center Llc
LBN: Judith Ruth Medical Center Llc
Judith Ruth Medical Center Llc is an health care organization with primary practice located at 1707 Blair Bridge Rd , Austell GA 30168-5537. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty.
Judith Ruth Medical Center Llc can be contacted via phone (404) 793-3806, or through Mccall-Gaston, Natalie via phone (404) 793-3806.
Contact Information
Primary practice address
1707 Blair Bridge Rd
Austell GA 30168-5537
Phone: (404) 793-3806
Fax: (770) 502-6715
Website:
Authorized official contact:
Name: Mccall-Gaston, Natalie Family Nurse Practitioner (FNP)
Phone: (404) 793-3806
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1144912270 |
|---|---|
| LBN Legal business name | Judith Ruth Medical Center Llc |
| DBA Doing business as | |
| Authorized official | Mccall-Gaston, Natalie Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2023 |
| Last updated | May 25th, 2023 - about last year |
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 | 1144912270 | NPPES |
| Georgia | MEDICAID | 003137957D |
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