Healthie Community Center Of Baxley

LBN: Healthie Community Center Llc
Healthie Community Center Of Baxley is an health care organization with primary practice located at 821 S Main St , Baxley GA 31513-0164. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Healthie Community Center Llc can be contacted via phone (912) 366-9371, or through Renfro, Mark via phone (904) 382-0925.

Contact Information

Primary practice address
821 S Main St Baxley GA 31513-0164
Phone: (912) 366-9371
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Renfro, Mark
Phone: (904) 382-0925

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1881228039
LBN Legal business name Healthie Community Center Llc
DBA Doing business as Healthie Community Center Of Baxley
Authorized official Renfro, Mark
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 26th, 2020
Last updated Aug 30th, 2021 - about 5 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 1881228039 NPPES
Georgia MEDICAID 332370125G

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