West End Medical Centers, The Family Health Center @ Bolton Village
LBN: West End Medical Centers, The Family Health Center @ Bolton Village
West End Medical Centers, The Family Health Center @ Bolton Village is an health care organization with primary practice located at 2011 Bolton Rd Nw Suite 104, Atlanta GA 30318-1137. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty.
West End Medical Centers, The Family Health Center @ Bolton Village can be contacted via phone (404) 752-1400, or through Brooks, Michael W via phone (404) 752-1400.
Contact Information
Primary practice address
2011 Bolton Rd Nw Suite 104
Atlanta GA 30318-1137
Phone: (404) 752-1400
Fax: (404) 756-8749
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | NON PROFIT EXEMPT | Georgia |
Profile Details
| NPI number | 1225041247 |
|---|---|
| LBN Legal business name | West End Medical Centers, The Family Health Center @ Bolton Village |
| DBA Doing business as | |
| Authorized official | Brooks, Michael W Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 14th, 2006 |
| Last updated | Feb 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225041247 | NPPES |
| Georgia | MEDICAID | 000437478D |
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