Ancor South Comp

LBN: Lookout Mountain Community Service
Ancor South Comp is an health care organization with primary practice located at 89 Highway 48 , Summerville GA 30747-1506. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Lookout Mountain Community Service can be contacted via phone (706) 638-5580, or through Howard, Alicia Michelle via phone (706) 670-1080.

Contact Information

Primary practice address
89 Highway 48 Summerville GA 30747-1506
Phone: (706) 638-5580
Fax: (706) 638-5445
Website:
Map and Directions
Authorized official contact:
Name: Howard, Alicia Michelle
Phone: (706) 670-1080

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1114257862
LBN Legal business name Lookout Mountain Community Service
DBA Doing business as Ancor South Comp
Authorized official Howard, Alicia Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Dec 31st, 2009
Last updated Feb 10th, 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 1114257862 NPPES
Georgia MEDICAID 000604513BV

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