GOOD SAMARITAN HEALTH CENTER NPI 1255831293

NPI Information

NPI: 1255831293
Provider Name: GOOD SAMARITAN HEALTH CENTER

Former Legal Business Name: BRIDGE ATLANTA MEDICAL CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D1041978

Address:
4864 JIMMY CARTER BLVD
NORCROSS, GA
ZIP 30093
Phone: (678) 280-6630
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GOOD SAMARITAN HEALTH CENTER is a primary care clinic center in Norcross, GA. GOOD SAMARITAN HEALTH CENTER NPI is 1255831293. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Bridge Atlanta Medical Center.

The provider's business location address is:

4864 JIMMY CARTER BLVD
NORCROSS, GA
ZIP 30093-701
Phone: (678) 280-6630

The provider's authorized official is Gregory Lang .
The authorized official title is Executive Director and has the following contact phone number (678) 280-6630.

The CLIA number assigned to this NPI record is 11D1041978 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2018 and was last updated on 2/16/2018.

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	261QP2300X	Clinic/Center	Primary Care			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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