<Unavail>

LBN: Dca Of Hawkinsville Llc
<Unavail> is an health care organization with primary practice located at 292 Industrial Blvd Ste 100, Hawkinsville GA 31036-8002. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Dca Of Hawkinsville Llc can be contacted via phone (478) 892-8008, or through Weinberg, Thomas L via phone (214) 736-2700.

Contact Information

Primary practice address
292 Industrial Blvd Ste 100 Hawkinsville GA 31036-8002
Phone: (478) 892-8008
Fax: (478) 892-8040
Website:
Map and Directions
Authorized official contact:
Name: Weinberg, Thomas L
Phone: (214) 736-2700

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X

Profile Details

NPI number 1124081559
LBN Legal business name Dca Of Hawkinsville Llc
DBA Doing business as <Unavail>
Authorized official Weinberg, Thomas L
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 7th, 2006
Last updated Jun 21st, 2018 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124081559 NPPES
Georgia Other 112707 BLUE CROSS
Georgia MEDICAID 000936713A BLUE CROSS

Popular Providers