Inner Community Health

LBN: Inner Community Health
Inner Community Health is an health care organization with primary practice located at 2180 Satellite Blvd Ste 400 , Duluth GA 30097-4927. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Community/Behavioral Health. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Inner Community Health can be contacted via phone (800) 620-6950, or through Sanders, Mirica via phone (216) 577-3441.

Contact Information

Primary practice address
2180 Satellite Blvd Ste 400 Duluth GA 30097-4927
Phone: (800) 620-6950
Fax: (877) 290-0408
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Mirica Doctor of Osteopathy (DO)
Phone: (216) 577-3441

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1891398541
LBN Legal business name Inner Community Health
DBA Doing business as
Authorized official Sanders, Mirica Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 7th, 2023 - about 3 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 1891398541 NPPES
Georgia MEDICAID 003291824A

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