Archbold Home Dialysis Services

LBN: Archbold Health Services, Inc.
Archbold Home Dialysis Services is an health care organization with primary practice located at 112 Mimosa Dr , Thomasville GA 31792-6605. The organization recently has only one registered license in Suppliers / Dialysis Equipment & Supplies, which is considered as the primary health care specialty. Archbold Health Services, Inc. can be contacted via phone (229) 228-2783, or through Campbell, William Clay via phone (229) 228-2200.

Contact Information

Primary practice address
112 Mimosa Dr Thomasville GA 31792-6605
Fax: (229) 551-8732
Website:
Authorized official contact:
Name: Campbell, William Clay

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Dialysis Equipment & Supplies 332BD1200X ESRD001121 Georgia

Profile Details

NPI number 1316997760
LBN Legal business name Archbold Health Services, Inc.
DBA Doing business as Archbold Home Dialysis Services
Authorized official Campbell, William Clay
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1316997760 NPPES
Georgia MEDICAID 00367881A

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