Northridge Medical Center

LBN: Restoration Health Care Of Commerce, Llc
Northridge Medical Center is an health care organization with primary practice located at 70 Medical Center Drive , Commerce GA 30529. The organization recently has 3 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospital Units / Medicare Defined Swing Bed Unit, Hospitals / Rural. Hospitals / Rural is the primary health care specialty. Restoration Health Care Of Commerce, Llc can be contacted via phone (706) 335-1000, or through Wise, Jerry via phone (706) 335-1101.

Contact Information

Primary practice address
70 Medical Center Drive Commerce GA 30529
Phone: (706) 335-1000
Fax: (706) 335-7701
Website:
Map and Directions
Authorized official contact:
Name: Wise, Jerry
Phone: (706) 335-1101

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X
Hospital Units / Medicare Defined Swing Bed Unit 275N00000X
Hospitals / Rural 282NR1301X

Profile Details

NPI number 1912079039
LBN Legal business name Restoration Health Care Of Commerce, Llc
DBA Doing business as Northridge Medical Center
Authorized official Wise, Jerry
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Aug 12th, 2020 - about 4 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 1912079039 NPPES
Georgia Other 852155 BLUE CROSS CLINIC
Georgia MEDICAID 00559248C BLUE CROSS CLINIC
Georgia MEDICAID 00059331A BLUE CROSS CLINIC
Georgia Other 191184 BLUE CROSS CLINIC
Georgia MEDICAID 00000151A BLUE CROSS CLINIC
Georgia MEDICAID 00000151D BLUE CROSS CLINIC
Georgia MEDICAID 00304059G BLUE CROSS CLINIC
Georgia MEDICAID 00808244A BLUE CROSS CLINIC
Georgia MEDICAID 00000151S BLUE CROSS CLINIC
Georgia Other 000042 BLUE CROSS CLINIC

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