West End Medical Centers @ Herndon Homes

LBN: West End Medical Centers @ Herndon Homes
West End Medical Centers @ Herndon Homes is an health care organization with primary practice located at 511 John St Nw , Atlanta GA 30318-7092. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. West End Medical Centers @ Herndon Homes can be contacted via phone (404) 572-5850, or through Brooks, Michael W via phone (404) 752-1400.

Contact Information

Primary practice address
511 John St Nw Atlanta GA 30318-7092
Fax: (404) 808-9071
Website:
Authorized official contact:
Name: Brooks, Michael W Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X NON PROFIT EXEMPT Georgia

Profile Details

NPI number 1154434025
LBN Legal business name West End Medical Centers @ Herndon Homes
DBA Doing business as
Authorized official Brooks, Michael W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 16th, 2006
Last updated Jun 19th, 2008 - about 14 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 1154434025 NPPES
Georgia MEDICAID 000487478C

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