Ellen St Cla

LBN: Lookout Mountain Community Service
Ellen St Cla is an health care organization with primary practice located at 341 Ellen St , Summerville GA 30747-2025. 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 Ford, Tom via phone (706) 638-5580.

Contact Information

Primary practice address
341 Ellen St Summerville GA 30747-2025
Phone: (706) 638-5580
Fax: (706) 638-5445
Website:
Map and Directions
Authorized official contact:
Name: Ford, Tom CEO
Phone: (706) 638-5580

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1790075679
LBN Legal business name Lookout Mountain Community Service
DBA Doing business as Ellen St Cla
Authorized official Ford, Tom CEO
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2011
Last updated Apr 13th, 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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