Ausable Valley Community Mental Health Services Board

LBN: Ausable Valley Community Mental Health Services Board
Ausable Valley Community Mental Health Services Board is an health care organization with primary practice located at 1199 W Harris Ave , Tawas City MI 48764-9310. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Ausable Valley Community Mental Health Services Board can be contacted via phone (989) 362-8636, or through Smith, Floyd via phone (989) 362-8636.

Contact Information

Primary practice address
1199 W Harris Ave Tawas City MI 48764-9310
Phone: (989) 362-8636
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Floyd PHD
Phone: (989) 362-8636

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1417011701
LBN Legal business name Ausable Valley Community Mental Health Services Board
DBA Doing business as
Authorized official Smith, Floyd PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Jun 8th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417011701 NPPES
Michigan MEDICAID 4456570
Michigan MEDICAID 1706830
Michigan MEDICAID 4811060

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