Mcintosh Tr Mh Mr Sa Csb

LBN: Mcintosh Trail Community Service Board
Mcintosh Tr Mh Mr Sa Csb is an health care organization with primary practice located at 463 Ernest Biles Dr Suite B, Jackson GA 30233-2229. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Mcintosh Trail Community Service Board can be contacted via phone (770) 775-2676, or through Thomas, Shari via phone (770) 358-8254.

Contact Information

Primary practice address
463 Ernest Biles Dr Suite B Jackson GA 30233-2229
Phone: (770) 775-2676
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Shari
Phone: (770) 358-8254

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1265610406
LBN Legal business name Mcintosh Trail Community Service Board
DBA Doing business as Mcintosh Tr Mh Mr Sa Csb
Authorized official Thomas, Shari
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2008
Last updated Dec 17th, 2015 - about 10 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 1265610406 NPPES
Georgia MEDICAID 000601609A

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