Northside Gwinnett Joan Glancy

LBN: Northside Hospital, Inc.
Northside Gwinnett Joan Glancy is an health care organization with primary practice located at 3215 Mcclure Bridge Rd , Duluth GA 30096-3223. The organization recently has only one registered license in Hospital Units / Rehabilitation Unit, which is considered as the primary health care specialty. Northside Hospital, Inc. can be contacted via phone (678) 312-6000, or through Hernandez, Jorge via phone (404) 851-6378.

Contact Information

Primary practice address
3215 Mcclure Bridge Rd Duluth GA 30096-3223
Phone: (678) 312-6000
Fax: (678) 312-6015
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Jorge
Phone: (404) 851-6378

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation Unit 273Y00000X 067-628 Georgia

Profile Details

NPI number 1134168016
LBN Legal business name Northside Hospital, Inc.
DBA Doing business as Northside Gwinnett Joan Glancy
Authorized official Hernandez, Jorge
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 12th, 2019 - about 5 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 1134168016 NPPES
Georgia MEDICAID 1064A

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