Southerncare Vidalia

LBN: Southerncare, Inc.
Southerncare Vidalia is an health care organization with primary practice located at 2311 E 1St St Suite B, Brice Square, Vidalia GA 30474-8811. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Southerncare, Inc. can be contacted via phone (912) 537-2273, or through Kleberg, Jessica via phone (704) 664-2876.

Contact Information

Primary practice address
2311 E 1St St Suite B, Brice Square Vidalia GA 30474-8811
Phone: (912) 537-2273
Fax: (912) 537-2213
Website:
Map and Directions
Authorized official contact:
Name: Kleberg, Jessica
Phone: (704) 664-2876

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 138186H Georgia
Agencies / Hospice Care, Community Based 251G00000X 138-149-H Georgia

Profile Details

NPI number 1518904853
LBN Legal business name Southerncare, Inc.
DBA Doing business as Southerncare Vidalia
Authorized official Kleberg, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2006
Last updated May 16th, 2016 - about 9 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 1518904853 NPPES
Georgia MEDICAID 000886938A
Georgia MEDICAID 00886938A

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