SOUTHSIDE MEDICAL CENTER INC NPI 1053789511

NPI Information

NPI: 1053789511
Provider Name: SOUTHSIDE MEDICAL CENTER, INC

Doing Business As: SOUTHSIDE MEDICAL CENTER - SPALDING COUNTY

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
409 W SOLOMON ST
GRIFFIN, GA
ZIP 30223
Phone: (678) 688-8700
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SOUTHSIDE MEDICAL CENTER, INC is a federally qualified health center (fqhc) clinic center in Griffin, GA. SOUTHSIDE MEDICAL CENTER, INC NPI is 1053789511. The provider is registered as an organization entity type.
The provider Is Doing Business As Southside Medical Center - Spalding County.

The provider's business location address is:

409 W SOLOMON ST
GRIFFIN, GA
ZIP 30223-831
Phone: (678) 688-8700

The provider's authorized official is Claudio Azzariti .
The authorized official title is Cfo and has the following contact phone number (404) 688-1350.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 9/14/2015.

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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