1St Source Healthcare

LBN: 1St Source Healthcare
1St Source Healthcare is an health care organization with primary practice located at 534 Ivy Brook Way , Macon GA 31210-4049. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. 1St Source Healthcare can be contacted via phone (478) 972-0748, or through Lucas, Michael Brandon via phone (478) 972-0748.

Contact Information

Primary practice address
534 Ivy Brook Way Macon GA 31210-4049
Phone: (478) 972-0748
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lucas, Michael Brandon
Phone: (478) 972-0748

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1841664695
LBN Legal business name 1St Source Healthcare
DBA Doing business as
Authorized official Lucas, Michael Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2015
Last updated Nov 17th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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