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 1444 Morgan Creek Dr , Eastman GA 31023. The organization recently has 2 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Community Service Board Of Middle Georgia can be contacted via phone (478) 374-7037, or through Moran, Robert Keith via phone (478) 275-6811.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1821555913 |
|---|---|
| LBN Legal business name | Community Service Board Of Middle Georgia |
| DBA Doing business as | |
| Authorized official | Moran, Robert Keith |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 25th, 2019 |
| Last updated | Feb 25th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821555913 | NPPES |
| Georgia | MEDICAID | 000643618C |
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