Organization Active NPI

Mit Ambulatory Care Center

  • Infusion Therapy Clinic/Center
  • Savannah, GA
National Provider Identifier
1689632432
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
MIT AMBULATORY CARE CENTER
Practice address
115 Echols Ave
Savannah, GA 31406-2527
Phone
(912) 691-0333
Fax
(912) 691-1889
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Shameka Johnson
Title
Billing Manager
Phone
(912) 691-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

115 Echols Ave
Savannah, GA 31406-2527

Mailing address

PO Box 13663
Savannah, GA 31416-0663
Phone (912) 691-0333

National Provider Directory

National Provider Directory

Locations

106 E Oglethorpe Ave
#A
Savannah, GA 31401
Phone (912) 691-1005

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1689632432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13663",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314160663",
            "telephone_number": "912-691-0333",
            "fax_number": "912-691-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ECHOLS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062527",
            "telephone_number": "912-691-0333",
            "fax_number": "912-691-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIT AMBULATORY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "912-691-0333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.