POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH NPI 1356738447

NPI Information

NPI: 1356738447
Provider Name: POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
2099 FAIRBURN RD SW
ATLANTA, GA
ZIP 30331
Phone: (404) 428-3133
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POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH is a health service clinic center in Atlanta, GA. POSITIVE BALANCE WELLNESS CENTER @ BEN HILL UNITED METHODIST CHURCH NPI is 1356738447. The provider is registered as an organization entity type.

The provider's business location address is:

2099 FAIRBURN RD SW
ATLANTA, GA
ZIP 30331-812
Phone: (404) 428-3133
Fax: (404) 344-7810

The provider's authorized official is Angela Patrice Shannon .
The authorized official title is Director and has the following contact phone number (404) 346-8264.

The enumeration date for this NPI number is 4/16/2015 and was last updated on 4/16/2015.

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	261QH0100X	Clinic/Center	Health Service	036661	GEORGIA	Yes

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
1	2084P08000X	OTHER	GEORGIA	TAXONOMY
2	00635115D	MEDICAID	GEORGIA
3	000635115E	MEDICAID	GEORGIA
4	G24538	MEDICARE UPIN	GEORGIA
5	26BDFPC	MEDICARE PIN	GEORGIA
6	1285707455	OTHER	GEORGIA	NPI

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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