Southside Medical Center, Inc. in Atlanta - Federally Qualified Health Center (fqhc)
Southside Medical Center, Inc. - NPI 1831217488
Southside Medical Center, Inc. is a Federally Qualified Health Center (fqhc) in Atlanta, Georgia. Southside Medical Center, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Southside Medical Center, Inc. is 1831217488. The last update date is 2008-06-12.
Southside Medical Center, Inc.'s current location address is 1046 Ridge Ave Sw, Atlanta, Georgia. You can contact this provider via phone number 4046881350 and fax number 4046882962. The mailing address for Southside Medical Center, Inc. is 1046 Ridge Ave Sw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Medical Center, Inc. |
|---|---|
| Address | 1046 Ridge Ave Sw, Atlanta, Georgia |
| Phone Number | 4046881350 |
| Fax Number | 4046882962 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Azzariti Claudio |
| Telephone Number | 4045647009 |
NPI Number Detail
| NPI Number | 1831217488 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 1046 Ridge Ave Sw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303151640 |
| Phone Number | 4046881350 |
| Fax Number | 4046882962 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000444056C | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southside Medical Center, Inc. by the Centers for Medicare & Medicaid Services?
The Southside Medical Center, Inc. has been issued the NPI (National Provider Identifier) 1831217488, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southside Medical Center, Inc. located?
The Southside Medical Center, Inc. is located at 1046 Ridge Ave Sw, Atlanta, GA 303151640.
What is Southside Medical Center, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southside Medical Center, Inc.'s specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1831217488 to Southside Medical Center, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1831217488 to Southside Medical Center, Inc. on 2007-03-26.
As of what date was the information regarding Southside Medical Center, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southside Medical Center, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-12.