Bacon County Rural Health Clinic

LBN: Bacon County Health Services, Inc
Bacon County Rural Health Clinic is an health care organization with primary practice located at 204 E 15Th St , Alma GA 31510-2908. The organization recently has only one registered license in Hospitals / Rural, which is considered as the primary health care specialty. Bacon County Health Services, Inc can be contacted via phone (912) 632-2952, or through Fiveash, Melissa via phone (912) 632-2952.

Contact Information

Primary practice address
204 E 15Th St Alma GA 31510-2908
Phone: (912) 632-2952
Fax: (912) 632-8682
Website:
Map and Directions
Authorized official contact:
Name: Fiveash, Melissa
Phone: (912) 632-2952

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X

Profile Details

NPI number 1821017831
LBN Legal business name Bacon County Health Services, Inc
DBA Doing business as Bacon County Rural Health Clinic
Authorized official Fiveash, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 10th, 2012 - about 13 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 1821017831 NPPES
Georgia Other 113408 OSCAR NUMBER
Georgia MEDICAID 000000118C OSCAR NUMBER

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