Southside Medical Center, Inc. in Riverdale - Federally Qualified Health Center (fqhc)
Southside Medical Center, Inc. - NPI 1427175090
Southside Medical Center, Inc. is a Federally Qualified Health Center (fqhc) in Riverdale, 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 1427175090. The last update date is 2019-05-22.
Southside Medical Center, Inc.'s current location address is 116 Upper Riverdale Rd Sw, Riverdale, Georgia. You can contact this provider via phone number 6788347847 and fax number 7709910071. The mailing address for Southside Medical Center, Inc. is 116 Upper Riverdale Rd Sw, Riverdale, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Medical Center, Inc. |
|---|---|
| Address | 116 Upper Riverdale Rd Sw, Riverdale, Georgia |
| Phone Number | 6788347847 |
| Fax Number | 7709910071 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Azzariti Claudio |
| Telephone Number | 4045647009 |
NPI Number Detail
| NPI Number | 1427175090 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2019-05-22 |
Provider Mailing Address Detail
| Address | 116 Upper Riverdale Rd Sw |
|---|---|
| City | Riverdale |
| State | Georgia (GA) |
| Post Code | 30274 |
| Phone Number | 6788347847 |
| Fax Number | 7709910071 |
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 |
|---|---|---|---|
| 000444056L | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Southside Medical Center, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Southside Medical Center, Inc. has been assigned the NPI (National Provider Identifier) 1427175090. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Southside Medical Center, Inc.'s facilities are situated?
The facilities of Southside Medical Center, Inc. are physically located at the following address: 116 Upper Riverdale Rd Sw, Riverdale, GA, 30274.
What is Southside Medical Center, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southside Medical Center, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date was the 1427175090 assigned to Southside Medical Center, Inc.?
The Southside Medical Center, Inc. was issued its 1427175090 on 2007-03-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Southside Medical Center, Inc.'s details last updated?
The information pertaining to the Southside Medical Center, Inc., including its address, specialty, and other details, was most recently updated on 2019-05-22.