Southside Medical Center, Inc.
Doing business as Substance Abuse Office-Southside Medical Ctr Inc
Federally qualified health center in Atl, GA, Medicare certification number 111881.
Medicare certification
Provider of Services- CCN
- 111881
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Jan 28, 2004
- Last certification
- Jan 28, 2004
- Address
- 1100 Cleveland Avenue
Atl, GA 30344
(404) 627-1385
NPI records for this facility (CCN to NPI Mapping) 1
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1174641658
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.