Mcintosh Trail Community Service Board

LBN: Mcintosh Trail Community Service Board
Mcintosh Trail Community Service Board is an health care organization with primary practice located at 1459 Williamson Rd , Griffin GA 30224-8428. 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) 229-3000, or through Mccollum, Pamela via phone (770) 358-8251.

Contact Information

Primary practice address
1459 Williamson Rd Griffin GA 30224-8428
Phone: (770) 229-3000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mccollum, Pamela
Phone: (770) 358-8251

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1336317270
LBN Legal business name Mcintosh Trail Community Service Board
DBA Doing business as
Authorized official Mccollum, Pamela
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2008
Last updated Aug 11th, 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 1336317270 NPPES
Georgia MEDICAID 000601609J

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