Southside Medical Center, Inc. in Atlanta - Federally Qualified Health Center (fqhc)
Southside Medical Center, Inc. - NPI 1174641658
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 1174641658. The last update date is 2012-06-11.
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 | 1174641658 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2012-06-11 |
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP375 | GA | MEDICARE GROUP | |
| 000041764B | GA | -- | |
| 000444056H | GA | -- | |
| 4092 | GA | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1174641658 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Southside Medical Center, Inc. is physically located?
The Southside Medical Center, Inc. is physically situated at the following address: 1046 Ridge Ave Sw, Atlanta, GA, 303151640.
What is Southside Medical Center, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southside Medical Center, Inc. is Federally Qualified Health Center (fqhc), and the corresponding taxonomy classification code for this specialized field is 261Qf0400X.
When did the Southside Medical Center, Inc. receive its 1174641658?
The Southside Medical Center, Inc. was issued its 1174641658 on 2007-03-26, which is the date when the organization was assigned this unique identifier.
When was the information regarding Southside Medical Center, Inc. most recently updated?
The details pertaining to the Southside Medical Center, Inc., including its address, specialty, and other relevant information, were last refreshed on 2012-06-11.
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