Georgia Mountain Community Services

LBN: Georgia Mountain Community Services
Georgia Mountain Community Services is an health care organization with primary practice located at 3509 Mabry Rd , Gainesville GA 30504-5755. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Georgia Mountain Community Services can be contacted via phone (678) 513-5700, or through Tucker, Karen R via phone (678) 513-5733.

Contact Information

Primary practice address
3509 Mabry Rd Gainesville GA 30504-5755
Fax: (678) 513-5700
Website:
Authorized official contact:
Name: Tucker, Karen R

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1770647463
LBN Legal business name Georgia Mountain Community Services
DBA Doing business as
Authorized official Tucker, Karen R
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 9th, 2010 - about 16 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 1770647463 NPPES
Georgia MEDICAID 000624731AJ

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