Highland Rivers Gordon Office

LBN: Highland Rivers Csb
Highland Rivers Gordon Office is an health care organization with primary practice located at 320 N River St , Calhoun GA 30701-1826. 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 (706) 625-8369, or through Bearden, Jason via phone (706) 270-5000.

Contact Information

Primary practice address
320 N River St Calhoun GA 30701-1826
Fax: (706) 625-8427
Website:
Authorized official contact:
Name: Bearden, Jason

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Georgia
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1912060088
LBN Legal business name Highland Rivers Csb
DBA Doing business as Highland Rivers Gordon Office
Authorized official Bearden, Jason
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 19th, 2006
Last updated Sep 20th, 2011 - about 15 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 1912060088 NPPES
Georgia Other 1447256243 ORGANIZATION MASTER NPI
Georgia MEDICAID 000759448R ORGANIZATION MASTER NPI

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