River Edge Baldwin County

LBN: River Edge Behavioral Health Center
River Edge Baldwin County is an health care organization with primary practice located at 60 Ga Highway 22 W , Milledgeville GA 31061-6606. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. River Edge Behavioral Health Center can be contacted via phone (478) 451-2784, or through Layman, Bryan via phone (478) 451-2784.

Contact Information

Primary practice address
60 Ga Highway 22 W Milledgeville GA 31061-6606
Fax: (478) 454-3131
Website:
Authorized official contact:
Name: Layman, Bryan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHRE009803 Georgia

Profile Details

NPI number 1306117999
LBN Legal business name River Edge Behavioral Health Center
DBA Doing business as River Edge Baldwin County
Authorized official Layman, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2012
Last updated Dec 22nd, 2016 - 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 1306117999 NPPES
Georgia MEDICAID 000604986B
Georgia Other 2133695

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