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EASTSIDE MEDICAL CENTER LLC NPI 1467406413


NPI Information

NPI: 1467406413
Provider Name: EASTSIDE MEDICAL CENTER, LLC

Doing Business As: EASTSIDE MEDICAL CENTER

Classification: Psychiatric Unit - 273R00000X
Entity Type: Organization
Address:
2160 FOUNTAIN DR
SNELLVILLE, GA
ZIP 30078
Phone: (770) 985-6473
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EASTSIDE MEDICAL CENTER, LLC is a psychiatric unit in Snellville, GA. The provider is in general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. EASTSIDE MEDICAL CENTER, LLC NPI is 1467406413. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastside Medical Center.

The provider's business location address is:

2160 FOUNTAIN DR
SNELLVILLE, GA
ZIP 30078-022
Phone: (770) 985-6473
Fax: (770) 736-3063

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 5/22/2006 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
1273R00000XPsychiatric UnitYes

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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