Floyd County Boh- Mobile Dental Van

LBN: Georgia Department Of Human Resources
Floyd County Boh- Mobile Dental Van is an health care organization with primary practice located at 1309 Redmond Rd Nw , Rome GA 30165-1307. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, State or Local, which is considered as the primary health care specialty. Georgia Department Of Human Resources can be contacted via phone (706) 802-5343, or through Sellers, Christopher Wade via phone (706) 295-6704.

Contact Information

Primary practice address
1309 Redmond Rd Nw Rome GA 30165-1307
Fax: (706) 802-5681
Website:
Authorized official contact:
Name: Sellers, Christopher Wade Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X 025271 Georgia

Profile Details

NPI number 1679614515
LBN Legal business name Georgia Department Of Human Resources
DBA Doing business as Floyd County Boh- Mobile Dental Van
Authorized official Sellers, Christopher Wade Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 11th, 2008 - about 17 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 1679614515 NPPES
Georgia MEDICAID 000926879G
Georgia MEDICAID 000926879A
Georgia MEDICAID 000926879F
Georgia MEDICAID 0009288679B
Georgia MEDICAID 000926879D
Georgia MEDICAID 000926879E
Georgia MEDICAID 000926879I
Georgia MEDICAID 000926879
Georgia MEDICAID 000926879B
Georgia MEDICAID 000926879H

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