CENTRO DE SALUD FAMILIAR II , LLC (NPI# 1396974853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396974853 |
| Entity Type | Organization |
| Organization Name | CENTRO DE SALUD FAMILIAR II , LLC |
| Other Organization Name | CENTRO DE SALUD FAMILIAR,LLC |
| Practice Address |
4921 Jonesboro Rd Suite E Forest Park GA 30297-4301 |
| Practice Telephone | 4043610303 |
| Practice Fax Number | 4043610353 |
| Mailing Telephone | 4043610303 |
| Mailing Fax Number | 4043610353 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |
| Authorized Official Name | MR. ELISEO VALLEJO (MANAGER) |
| Authorized Official Telephone | 4043610303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centro De Salud Familiar,LLC | Doing Business As Name - Organization |
| Street Address |
4921 JONESBORO RD SUITE E |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747173 | Ga Peach Medical Transportation, LLC | Ambulance | 5023 Highway 85, Forest Park, GA 30297 | 2018-07-26 |
| 1871940437 | Crystal Harrison | Counselor | 4659 Ruby Ln, Forest Park, GA 30297 | 2016-05-24 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| Find all providers in zip 30297 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245498567 | Basden Family Practice, Inc. | Family Medicine | 4940 Governors Dr, Suite 203, Forest Park, GA 30297-2186 | 2008-05-23 |
| 1558430280 | Faith Adonis Andrews | Family Medicine | 525 Forest Pkwy, Suite 100, Forest Park, GA 30297-2149 | 2006-11-07 |
| 1871519470 | The Doctor's Office, LLC | Family Medicine | 528 Forest Pkwy, Suite A, Forest Park, GA 30297-6109 | 2006-07-15 |
| 1396793964 | Shiann C Lin | Family Medicine | 316 Circle Ave, Forest Park, IL 60130-1610 | 2006-05-05 |
| 1073160404 | South Atlanta Joint & Rehab | Family Medicine | 541 Forest Pkwy Ste 14, Forest Park, GA 30297-6110 | 2019-08-21 |
| 1457814600 | Advance Primry Care LLC | Family Medicine | 4575 Jonesboro Rd, Forest Park, GA 30297-4317 | 2019-04-12 |
| 1831579812 | Ahmed Family Practice LLC | Family Medicine | 528 Forest Pkwy, Ste A, Forest Park, GA 30297-6109 | 2015-06-04 |
| 1295967404 | Angela Evans | Family Medicine | 871 Forest Pkwy, Forest Park, GA 30297-2381 | 2009-08-20 |
| 1396923538 | Southern Crescent Family Practice, LLC | Family Medicine | 525 Forest Pkwy, Suite 100, Forest Park, GA 30297-2149 | 2008-02-08 |
| 1487756474 | Bahir A Mansur | Family Medicine | 7318 Madison St, Forest Park, IL 60130-3100 | 2006-09-01 |
| Find all providers in FOREST PARK | ||||
| City | FOREST PARK |
| Zip Code | 30297 |
Please comment or provide details below to improve the information on CENTRO DE SALUD FAMILIAR II , LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.