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Contact Information

SOUTHSIDE UNITED HEALTH CENTERS
3009 WAUGHTOWN ST
WINSTON-SALEM, NC27107
 Phone: 336-293-8728
 Fax: 336-293-8733
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SOUTHSIDE UNITED HEALTH CENTERS

NPI Number 1861929523
LBN Legal business name SOUTHSIDE UNITED HEALTH CENTERS
Authorized official SHIRLEY KOTOFSKY - (FINANCIAL SERVICES REPRESENTATIVE)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2017
Last updated 08/07/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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