River Edge Behavioral Health Center
LBN: River Edge Behavioral Health Center
River Edge Behavioral Health Center is an health care organization with primary practice located at 175 Emery Hwy , Macon GA 31217-3692. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic 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) 803-7696, or through Layman, Bryan via phone (478) 803-7650.
Contact Information
Primary practice address
175 Emery Hwy
Macon GA 31217-3692
Phone: (478) 803-7696
Fax: (478) 746-5864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE005543 | Georgia |
Profile Details
| NPI number | 1457454514 |
|---|---|
| LBN Legal business name | River Edge Behavioral Health Center |
| DBA Doing business as | River Edge Behavioral Health Center |
| Authorized official | Layman, Bryan RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jan 17th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457454514 | NPPES |
| Other | 2019177 | PK | |
| MEDICAID | 000604986A | PK |
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