Southside Medical Service Llc

LBN: Southside Medical Service Llc
Southside Medical Service Llc is an health care organization with primary practice located at 510 Wolf Creek Rd N , Pell City AL 35125-2477. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Southside Medical Service Llc can be contacted via phone (205) 753-3462, or through Fortson, Stephen via phone (205) 753-3462.

Contact Information

Primary practice address
510 Wolf Creek Rd N Pell City AL 35125-2477
Phone: (205) 753-3462
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fortson, Stephen Doctor of Medicine (MD)
Phone: (205) 753-3462

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1639767742
LBN Legal business name Southside Medical Service Llc
DBA Doing business as
Authorized official Fortson, Stephen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2021
Last updated Jan 5th, 2021 - about 3 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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