Tippin Bank & Trust Company

LBN: Charles E.Kelly & Company
Tippin Bank & Trust Company is an health care organization with primary practice located at 409 Oak St , Claxton GA 30417-1351. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Agencies / Case Management, Agencies / Community/Behavioral Health, Managed Care Organizations / Preferred Provider Organization. Managed Care Organizations / Preferred Provider Organization is the primary health care specialty. Charles E.Kelly & Company can be contacted via phone (912) 739-1122, or through Kelly, Charles E via phone (912) 739-1122.

Contact Information

Primary practice address
409 Oak St Claxton GA 30417-1351
Phone: (912) 739-1122
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Charles E DOC
Phone: (912) 739-1122

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X Georgia
Agencies / Case Management 251B00000X Georgia
Agencies / Community/Behavioral Health 251S00000X Georgia
Managed Care Organizations / Preferred Provider Organization 305R00000X Georgia

Profile Details

NPI number 1184021347
LBN Legal business name Charles E.Kelly & Company
DBA Doing business as Tippin Bank & Trust Company
Authorized official Kelly, Charles E DOC
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 3rd, 2014
Last updated Dec 3rd, 2014 - about 12 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 1184021347 NPPES
Georgia Other 1399374 GATEWAY AUTHORITY

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