Eastside Ventures Inc. in Oneonta - Family Medicine
Eastside Ventures Inc. - NPI 1578697660
Eastside Ventures Inc. is a Family Medicine in Oneonta, Alabama. Eastside Ventures Inc. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Eastside Ventures Inc. is 1578697660. The last update date is 2011-02-03.
Eastside Ventures Inc.'s current location address is 150 Gilbreath Dr, Oneonta, Alabama. You can contact this provider via phone number 2052743055. The mailing address for Eastside Ventures Inc. is 150 Gilbreath Dr, Oneonta, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eastside Ventures Inc. |
|---|---|
| Address | 150 Gilbreath Dr, Oneonta, Alabama |
| Phone Number | 2052743055 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF ACCO |
|---|---|
| Authorized Official Name | Parks H Vicki |
| Credentials | CPA |
| Telephone Number | 2058383718 |
NPI Number Detail
| NPI Number | 1578697660 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2011-02-03 |
Provider Mailing Address Detail
| Address | 150 Gilbreath Dr |
|---|---|
| City | Oneonta |
| State | Alabama (AL) |
| Post Code | 351212827 |
| Phone Number | 2052743055 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 529926850 | AL | -- | |
| I303 | MEDICARE PT B |
Post Comment/ Review Below
What is the Eastside Ventures Inc.'s 1578697660?
The Eastside Ventures Inc.'s NPI (National Provider Identifier) Number is 1578697660. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Eastside Ventures Inc.?
The Eastside Ventures Inc. is situated at 150 Gilbreath Dr, in the city of Oneonta, state of AL, with the zip code 351212827.
What is Eastside Ventures Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Eastside Ventures Inc.'s area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Eastside Ventures Inc. receive its 1578697660 assignment from the Centers for Medicare & Medicaid Services?
The Eastside Ventures Inc. was assigned its 1578697660 by the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date were the Eastside Ventures Inc.'s details last updated?
The information pertaining to the Eastside Ventures Inc., including its address, specialty, and other details, was most recently updated on 2011-02-03.