HEALTH EDUCATION ASSESSMENT AND LEADERSHIP INC NPI 1215672555

NPI Information

NPI: 1215672555
Provider Name: HEALTH EDUCATION ASSESSMENT AND LEADERSHIP INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D2277086

Address:
1188 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA
ZIP 30310
Phone: (404) 564-7749
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HEALTH EDUCATION ASSESSMENT AND LEADERSHIP INC is a federally qualified health center (fqhc) clinic center in Atlanta, GA. HEALTH EDUCATION ASSESSMENT AND LEADERSHIP INC NPI is 1215672555. The provider is registered as an organization entity type.

The provider's business location address is:

1188 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA
ZIP 30310-716
Phone: (404) 564-7749
Fax: (404) 758-1216

The provider's authorized official is Shawn L Wright .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (404) 564-7749.

The CLIA number assigned to this NPI record is 11D2277086 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2022 and was last updated on 5/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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