MIT AMBULATORY CARE CENTER NPI 1538127386

NPI Information

NPI: 1538127386
Provider Name: MIT AMBULATORY CARE CENTER
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
115 ECHOLS AVE
SAVANNAH, GA
ZIP 31406
Phone: (912) 691-0333
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MIT AMBULATORY CARE CENTER is an infusion therapy clinic center in Savannah, GA. MIT AMBULATORY CARE CENTER NPI is 1538127386. The provider is registered as an organization entity type.

The provider's business location address is:

115 ECHOLS AVE
SAVANNAH, GA
ZIP 31406-527
Phone: (912) 691-0333
Fax: (912) 691-1889

The provider's authorized official is Shameka Johnson .
The authorized official title is Billing Manager and has the following contact phone number (912) 691-0333.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 10/11/2007.

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	261QI0500X	Clinic/Center	Infusion Therapy			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	GRP3755	MEDICARE PIN	GEORGIA

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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