COFFEE COUNTY SLEEP SERVICES LLC NPI 1457583502

NPI Information

NPI: 1457583502
Provider Name: COFFEE COUNTY SLEEP SERVICES, LLC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

CLIA Number: 11D1028055

Address:
308 SHIRLEY AVE
SUITE 304
DOUGLAS, GA
ZIP 31533
Phone: (912) 383-9382
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COFFEE COUNTY SLEEP SERVICES, LLC is a sleep disorder diagnostic clinic center in Douglas, GA. COFFEE COUNTY SLEEP SERVICES, LLC NPI is 1457583502. The provider is registered as an organization entity type.

The provider's business location address is:

308 SHIRLEY AVE
SUITE 304
DOUGLAS, GA
ZIP 31533-332
Phone: (912) 383-9382

The provider's authorized official is Jeffrey Silveira .
The authorized official title is Registered Agent and has the following contact phone number (912) 383-9382.

The CLIA number assigned to this NPI record is 11D1028055 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2009 and was last updated on 8/21/2009.

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	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic	08043471	GEORGIA	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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