Stone Mountain Immediate Medical Care, Inc.
LBN: Stone Mountain Immediate Medical Care, Inc.
Stone Mountain Immediate Medical Care, Inc. is an health care organization with primary practice located at 833 N Hairston Rd , Stone Mountain GA 30083-3423. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty.
Stone Mountain Immediate Medical Care, Inc. can be contacted via phone (770) 879-5553, or through Davis, Doris Lynn via phone (770) 879-5553.
Contact Information
Primary practice address
833 N Hairston Rd
Stone Mountain GA 30083-3423
Phone: (770) 879-5553
Fax: (770) 879-5592
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | 038143 | Georgia |
| Managed Care Organizations / Health Maintenance Organization | 302R00000X |
Profile Details
| NPI number | 1578569323 |
|---|---|
| LBN Legal business name | Stone Mountain Immediate Medical Care, Inc. |
| DBA Doing business as | |
| Authorized official | Davis, Doris Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Nov 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578569323 | NPPES |
| Georgia | MEDICAID | 000703359I |
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