Highland Rivers Paulding Office
LBN: Highland Rivers Csb
Highland Rivers Paulding Office is an health care organization with primary practice located at 126 Enterprise Path Suite #202, Hiram GA 30141-2656. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty.
Highland Rivers Csb can be contacted via phone (678) 567-0920, or through Dallas, Melanie via phone (706) 270-5000.
Contact Information
Primary practice address
126 Enterprise Path Suite #202
Hiram GA 30141-2656
Phone: (678) 567-0920
Fax: (678) 567-0950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | Georgia | |
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1578626917 |
|---|---|
| LBN Legal business name | Highland Rivers Csb |
| DBA Doing business as | Highland Rivers Paulding Office |
| Authorized official | Dallas, Melanie |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Nov 4th, 2022 - about 4 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 | 1578626917 | NPPES |
| Georgia | Other | 10064018 | AMERIGROUP PROVIDER ID |
| Georgia | MEDICAID | 000759448Q | AMERIGROUP PROVIDER ID |
| Georgia | Other | 815526000 | AMERIGROUP PROVIDER ID |
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