MEDFUND LLC NPI 1073516134

NPI Information

NPI: 1073516134
Provider Name: MEDFUND LLC

Doing Business As: HORIZON AUGUSTA LLC

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
2803 WRIGHTSBORO RD
STE 18
AUGUSTA, GA
ZIP 30909
Phone: (706) 729-9800
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MEDFUND LLC is a magnetic resonance imaging (mri) clinic center in Augusta, GA. MEDFUND LLC NPI is 1073516134. The provider is registered as an organization entity type.
The provider Is Doing Business As Horizon Augusta Llc.

The provider's business location address is:

2803 WRIGHTSBORO RD
STE 18
AUGUSTA, GA
ZIP 30909-917
Phone: (706) 729-9800
Fax: (706) 729-8980

The provider's authorized official is Martin J Kern .
The authorized official title is Senior Vice President and has the following contact phone number (941) 925-3490.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 8/22/2020.

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	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)			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	52070692	OTHER		BCBS PROVIDER #
2	SL0069	MEDICAID	SOUTH CAROLINA
3	7487068	OTHER	GEORGIA	AETNA PROVIDER #

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: 4/28/2024

NPI Synchronization or Removal

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