Eastside Ventures, Inc.
NPI 1609900406ActiveOrganization· Family Medicine· Cleveland, AL
Family Medicine in Cleveland, Alabama, registered in NPPES in March 2007, part of Eastside Ventures, Inc. The authorized official on file is Vicki H. Parks, CPA, Chief Accounting Officer.
Overview
| NPI | 1609900406 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Eastside Ventures, Inc. |
| NPI issued | Mar 15, 2007 |
| Last updated in NPPES | Feb 3, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Cleveland
- 1699334888