Fort Valley Outpatient

LBN: Middle Flint Area Community Service Board
Fort Valley Outpatient is an health care organization with primary practice located at 410 E Church St , Fort Valley GA 31030-3097. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Middle Flint Area Community Service Board can be contacted via phone (478) 825-6499, or through Jordan, Margaret via phone (229) 815-5286.

Contact Information

Primary practice address
410 E Church St Fort Valley GA 31030-3097
Phone: (478) 825-6499
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jordan, Margaret
Phone: (229) 815-5286

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X Georgia

Profile Details

NPI number 1366521932
LBN Legal business name Middle Flint Area Community Service Board
DBA Doing business as Fort Valley Outpatient
Authorized official Jordan, Margaret
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 3rd, 2006
Last updated Jan 29th, 2024 - about last year

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 1366521932 NPPES
Georgia MEDICAID 000604502B

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