Southside Healthcare

LBN: Southside Medical Center, Inc.
Southside Healthcare is an health care organization with primary practice located at 2578 Gresham Rd Se , Atlanta GA 30316-4138. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Clinic/Center. Agencies / Home Health is the primary health care specialty. Southside Medical Center, Inc. can be contacted via phone (404) 564-0431, or through Azzariti, Claudio via phone (404) 564-7009.

Contact Information

Primary practice address
2578 Gresham Rd Se Atlanta GA 30316-4138
Phone: (404) 564-0431
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Azzariti, Claudio
Phone: (404) 564-7009

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Georgia
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1548388101
LBN Legal business name Southside Medical Center, Inc.
DBA Doing business as Southside Healthcare
Authorized official Azzariti, Claudio
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Jun 12th, 2008 - about 16 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 1548388101 NPPES
Georgia MEDICAID 000064336A

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