Grassroots Medical, Grassroots Dental

LBN: Community Health Center, Inc.
Grassroots Medical, Grassroots Dental is an health care organization with primary practice located at 4485 N Town Sq Suite 108, Powder Springs GA 30127-2242. The organization recently has 8 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Community Health Center, Inc. can be contacted via phone (678) 398-6548, or through Aten, David G via phone (678) 398-6548.

Contact Information

Primary practice address
4485 N Town Sq Suite 108 Powder Springs GA 30127-2242
Phone: (678) 398-6548
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Aten, David G
Phone: (678) 398-6548

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / General Practice 1223G0001X
Dental Providers / Dental Hygienist 124Q00000X
Dental Providers / Dental Assistant 126800000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1598052706
LBN Legal business name Community Health Center, Inc.
DBA Doing business as Grassroots Medical, Grassroots Dental
Authorized official Aten, David G
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2011
Last updated Jun 30th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598052706 NPPES
Georgia MEDICAID 003141372A

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