WILMINGTON HEALTH CENTER INC. NPI 1760549265

NPI Information

NPI: 1760549265
Provider Name: WILMINGTON HEALTH CENTER, INC.
Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

CLIA Number: 11D1045977

Address:
37 W FAIRMONT AVE
UNIT 317
SAVANNAH, GA
ZIP 31406
Phone: (912) 925-8266
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WILMINGTON HEALTH CENTER, INC. is a pain clinic center in Savannah, GA. WILMINGTON HEALTH CENTER, INC. NPI is 1760549265. The provider is registered as an organization entity type.

The provider's business location address is:

37 W FAIRMONT AVE
UNIT 317
SAVANNAH, GA
ZIP 31406-455
Phone: (912) 925-8266
Fax: (912) 925-8264

The provider's authorized official is David Monroe Nelson .
The authorized official title is Owner and has the following contact phone number (912) 925-8266.

The CLIA number assigned to this NPI record is 11D1045977 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 10/5/2015.

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	261QP3300X	Clinic/Center	Pain	031085	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	C70281	MEDICARE UPIN	GEORGIA
2	000466573B	MEDICAID	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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