AR MEDICAL LLC (NPI# 1659431708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659431708 |
Entity Type | Organization |
Organization Name | AR MEDICAL LLC |
Other Organization Name | SOUTH CARE MEDICAL CENTER |
Practice Address |
2514-c Tabacco Rd Hephzibah GA 30815-7005 |
Mailing Address |
809 Peachtree St Louisville GA 30434-1449 |
Practice Telephone | 7067900311 |
Practice Fax Number | 7067900815 |
Mailing Telephone | 4786257597 |
Mailing Fax Number | 4786258364 |
Enumeration Date | 2006-12-11 |
Last Update Date | 2008-10-28 |
Authorized Official Name | FIROZ PATKA (PRESIDENT) |
Authorized Official Telephone | 4786257597 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
South Care Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962562884 | Ar Medical LLC | Clinic/Center | 809 Peachtree Street, Louisville, GA 30434-1449 | 2006-12-11 |
1619037769 | Ar Medical LLC | Clinic/Center | 1217 Memorial Dr Suite 2, Dalton, GA 30720-2535 | 2006-12-11 |
1053471979 | Ar Medical LLC | Clinic/Center | 502 East General Stewart Way Suite A, Hinesville, GA 31313-2643 | 2006-12-11 |
1306916119 | Ar Medical LLC | Clinic/Center | 15 North Mcdonald Street, Ludowici, GA 31316-0068 | 2006-11-09 |
1164472338 | Ar Medical LLC | Internal Medicine | 15 Mcdonald St, Ludowici, GA 31316-4500 | 2006-05-11 |
1164472478 | Ar Medical LLC | Pediatrics | 502 E General Stewart Way, Hinesville, GA 31313-2629 | 2006-05-10 |
1396805214 | Ar Medical LLC | Clinic/Center | 306 Mount Pleasant Rd, Thomson, GA 30825-8124 | 2006-12-11 |
Street Address |
2514-C TABACCO RD |
City | HEPHZIBAH |
State | GA |
Zip Code | 30815-7005 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679091458 | Specialized Healthcare Services Inc | In Home Supportive Care | 2920 Tobacco Road, Suit A, Hephzibah, GA 30815 | 2017-08-31 |
1144747437 | Willie Mae Berry Pugh | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2013 Teal Court, Hephzibah, GA 30815 | 2017-08-28 |
1811448319 | Butterfly Gardens Hospice & Palliative Care | Hospice, Inpatient | 3112 Blackmon Court, Hephzibah, GA 30815 | 2016-10-19 |
1841651098 | Michelle Sherrie Coleman | Home Health Aide | 2708 Bob White Court, Hephzibah, GA 30815 | 2016-03-16 |
1285046409 | Allison Dionne Harden Bostic | Nurse's Aide | 1557 Brown Rd, Hephzibah, GA 30815 | 2014-05-22 |
1568802353 | Daryl Wolf | Chiropractor | 2742 Willis Foreman Rd., Hephzabah, GA 30815 | 2013-06-26 |
1336467547 | Gussie Holmes Lawson | Adult Companion | 2412 Orchard Dr., Hephzibah, GA 30815 | 2010-05-12 |
1275864811 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2232 Montcrief Drive, Hephzibah, GA 30815 | 2010-01-21 |
1376878801 | Freeman's Second Time Around Healthcare Services | Home Health | 2716 Castletown Dr, Hephzibah, GA 30815 | 2009-10-16 |
1205028545 | Tonia Lynn Manley | Licensed Practical Nurse | 38th Street Building 38707, Fort Gordon, GA 30815 | 2007-08-10 |
Find all providers in zip 30815 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
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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.