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EASTSIDE MEDICAL CENTER LLC NPI 1467406132


NPI Information

NPI: 1467406132
Provider Name: EASTSIDE MEDICAL CENTER, LLC

Doing Business As: PIEDMONT EASTSIDE MEDICAL CENTER

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
1700 MEDICAL WAY
SNELLVILLE, GA
ZIP 30078
Phone: (770) 979-0200
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EASTSIDE MEDICAL CENTER, LLC is a general acute care hospital in Snellville, GA. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. EASTSIDE MEDICAL CENTER, LLC NPI is 1467406132. The provider is registered as an organization entity type.
The provider Is Doing Business As Piedmont Eastside Medical Center.

The provider's business location address is:

1700 MEDICAL WAY
SNELLVILLE, GA
ZIP 30078-195
Phone: (770) 979-0200
Fax: (770) 736-2395

The provider's authorized official is Robert C Cross .
The authorized official title is Vp Government Reimbursement and has the following contact phone number (470) 271-3401.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 2/26/2024.


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
1282N00000XGeneral Acute Care HospitalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100190088AMEDICAIDGEORGIA
2158328200OTHERDEPT OF LABOR
330000595MEDICAIDPENNSYLVANIA
4406635900MEDICAIDMARYLAND
5071850401MEDICAIDTEXAS
682176800MEDICAIDWISCONSIN
7157505105MEDICAIDARKANSAS
8308068059MEDICAIDMICHIGAN
9143405MEDICAIDSOUTH CAROLINA
10200225640AMEDICAIDINDIANA
1182092MEDICAIDNEW YORK
12HOS0192NMEDICAIDALABAMA
130067598MEDICAIDNEW JERSEY
140110192MEDICAIDTENNESSEE
151526531OTHERGATEWAY MEDICAID HMO
161633343MEDICAIDNEW YORK
173564OTHERBLUE CROSS
184001267OTHERBLUE CARE
19421810000MEDICAIDMAINE
20XHSP33294MEDICAIDCALIFORNIA
213022050MEDICAIDWASHINGTON
2250002177MEDICAIDKENTUCKY
23909638800MEDICAIDFLORIDA
24036540100MEDICAIDDISTRICT OF COLUMBIA
251010484MEDICAIDMASSACHUSETTS
26119513MEDICAIDARIZONA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.