Eastside Medical Center, Llc, NPI 1467406132
General Acute Care Hospital in Snellville, GA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1467406132
NPI Entity Type Organization
Provider Name Eastside Medical Center, Llc
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1700 Medical Way, Snellville, GA, US
Provider Mailing Address 1700 Medical Way, Snellville, GA, US, 300782195
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Robert C Cross
Official Position VP GOVERNMENT REIMBURSEMENT
Phone 470-271-3401

Primary Taxonomy

Taxonomy Code

282N00000X

Taxonomy Name General Acute Care Hospital
Classification

General Acute Care Hospital

Group

Hospitals

Description 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.

Other Organization Name

Piedmont Eastside Medical Center
Doing Business As

Business Address

Eastside Medical Center, Llc
1700 Medical Way

Snellville, GA, US

Phone: 770-979-0200
Fax: 770-736-2395

Mailing Address

Eastside Medical Center, Llc
1700 Medical Way
Snellville, GA, US
ZIP 300782195
Phone: 770-979-0200
Fax: 770-736-2395

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
119513 AZ MEDICAID 05
1526531 GATEWAY MEDICAID HMO 01
421810000 ME MEDICAID 05
071850401 TX MEDICAID 05
30000595 PA MEDICAID 05
200225640A IN MEDICAID 05
3564 BLUE CROSS 01
909638800 FL MEDICAID 05
HOS0192N AL MEDICAID 05
0110192 TN MEDICAID 05
50002177 KY MEDICAID 05
82092 NY MEDICAID 05
XHSP33294 CA MEDICAID 05
1010484 MA MEDICAID 05
00190088A GA MEDICAID 05
036540100 DC MEDICAID 05
157505105 AR MEDICAID 05
158328200 DEPT OF LABOR 01
4001267 BLUE CARE 01
3022050 WA MEDICAID 05
308068059 MI MEDICAID 05
406635900 MD MEDICAID 05
0067598 NJ MEDICAID 05
143405 SC MEDICAID 05
1633343 NY MEDICAID 05
82176800 WI MEDICAID 05

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Hand Occupational Therapist

6115 Peachtree Dunwoody Rd Ste 210

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