NAESM HEALTH & WELLNESS CENTER NPI 1790187938

NPI Information

NPI: 1790187938
Provider Name: NAESM HEALTH & WELLNESS CENTER
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 11D1037711

Address:
2140 MARTIN LUTHER KING JR DR SW
ATLANTA, GA
ZIP 30310
Phone: (404) 691-8880
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NAESM HEALTH & WELLNESS CENTER is a community health clinic center in Atlanta, GA. NAESM HEALTH & WELLNESS CENTER NPI is 1790187938. The provider is registered as an organization entity type.

The provider's business location address is:

2140 MARTIN LUTHER KING JR DR SW
ATLANTA, GA
ZIP 30310-134
Phone: (404) 691-8880
Fax: (404) 691-8811

The provider's authorized official is Darwin Thompson .
The authorized official title is Director Of Programs and has the following contact phone number (404) 691-8880.

The CLIA number assigned to this NPI record is 11D1037711 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2014 and was last updated on 9/18/2014.

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	Primary
1	261Q00000X	Clinic/Center		No
2	261QH0100X	Clinic/Center	Health Service	No
3	261QM0850X	Clinic/Center	Adult Mental Health	No
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
5	261QP2300X	Clinic/Center	Primary Care	No
6	261QC1500X	Clinic/Center	Community Health	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

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