North Jefferson St Annex

LBN: Community Service Board Of Middle Georgia
North Jefferson St Annex is an health care organization with primary practice located at 600 N Jefferson St , Dublin GA 31021-6302. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Community Service Board Of Middle Georgia can be contacted via phone (478) 275-6800, or through Moran, Robert Keith via phone (478) 272-1190.

Contact Information

Primary practice address
600 N Jefferson St Dublin GA 31021-6302
Phone: (478) 275-6800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moran, Robert Keith
Phone: (478) 272-1190

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1073647905
LBN Legal business name Community Service Board Of Middle Georgia
DBA Doing business as North Jefferson St Annex
Authorized official Moran, Robert Keith
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2020 - about 5 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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