Mitchell Baker Service Center

LBN: Mitchell Baker Service Center
Mitchell Baker Service Center is an health care organization with primary practice located at 65 Industrial Blvd , Camilla GA 31730-3912. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Mitchell Baker Service Center can be contacted via phone (229) 336-7977, or through Johnson, Terri B. via phone (229) 336-7977.

Contact Information

Primary practice address
65 Industrial Blvd Camilla GA 31730-3912
Phone: (229) 336-7977
Fax: (229) 336-1346
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Terri B.
Phone: (229) 336-7977

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1114043403
LBN Legal business name Mitchell Baker Service Center
DBA Doing business as
Authorized official Johnson, Terri B.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Aug 20th, 2008 - about 18 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 1114043403 NPPES
Georgia MEDICAID 000649151A

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