Southside Medical Center, Inc.

LBN: Southside Medical Center, Inc.
Southside Medical Center, Inc. is an health care organization with primary practice located at 1514 Cleveland Ave Ste 205 , East Point GA 30344-6965. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Southside Medical Center, Inc. can be contacted via phone (678) 510-0827, or through Azzariti, Claudio via phone (404) 688-1350.

Contact Information

Primary practice address
1514 Cleveland Ave Ste 205 East Point GA 30344-6965
Phone: (678) 510-0827
Fax: (678) 510-0826
Website:
Map and Directions
Authorized official contact:
Name: Azzariti, Claudio MBA, CPA
Phone: (404) 688-1350

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 044293H Georgia

Profile Details

NPI number 1245252220
LBN Legal business name Southside Medical Center, Inc.
DBA Doing business as
Authorized official Azzariti, Claudio MBA, CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 10th, 2010 - about 15 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 1245252220 NPPES
Georgia MEDICAID 00064336A

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