Mountain Lakes Medical Center

LBN: Professional Resources Management Of Rabun, Llc
Mountain Lakes Medical Center is an health care organization with primary practice located at 162 Legacy Pt , Clayton GA 30525-5354. The organization recently has only one registered license in Hospitals / Critical Access, which is considered as the primary health care specialty. Professional Resources Management Of Rabun, Llc can be contacted via phone (706) 782-0401, or through Hall, Kristy via phone (706) 782-0400.

Contact Information

Primary practice address
162 Legacy Pt Clayton GA 30525-5354
Phone: (706) 782-0401
Fax: (706) 782-0451
Website:
Map and Directions
Authorized official contact:
Name: Hall, Kristy
Phone: (706) 782-0400

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 119-621 Georgia

Profile Details

NPI number 1326191180
LBN Legal business name Professional Resources Management Of Rabun, Llc
DBA Doing business as Mountain Lakes Medical Center
Authorized official Hall, Kristy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Aug 8th, 2023 - about 2 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 1326191180 NPPES
Georgia Other 10063437 AMERIGROUP
Georgia Other 293932 AMERIGROUP
Georgia MEDICAID 00001559A AMERIGROUP
Georgia MEDICAID 0001559S AMERIGROUP
Georgia Other 51000340 AMERIGROUP

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