Community Service Board Of Middle Georgia

LBN: Community Service Board Of Middle Georgia
Community Service Board Of Middle Georgia is an health care organization with primary practice located at 109 Cherry St , Sylvania GA 30467-6405. 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 (912) 564-7222, or through Moran, Keith via phone (478) 275-6811.

Contact Information

Primary practice address
109 Cherry St Sylvania GA 30467-6405
Phone: (912) 564-7222
Fax: (912) 564-7951
Website:
Map and Directions
Authorized official contact:
Name: Moran, Keith
Phone: (478) 275-6811

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1649791864
LBN Legal business name Community Service Board Of Middle Georgia
DBA Doing business as
Authorized official Moran, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2017
Last updated Jun 28th, 2017 - about 8 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 1649791864 NPPES
Georgia MEDICAID 000709288G

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