Big Lake Country Club, Llc

LBN: Big Lake Country Club, Llc
Big Lake Country Club, Llc is an health care organization with primary practice located at 471 S. Kenlar Road , Houston AK 99694. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Big Lake Country Club, Llc can be contacted via phone (907) 232-8466, or through Geddes, Stephen Phillip via phone (907) 250-6605.

Contact Information

Primary practice address
471 S. Kenlar Road Houston AK 99694
Phone: (907) 232-8466
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Geddes, Stephen Phillip
Phone: (907) 250-6605

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1669150207
LBN Legal business name Big Lake Country Club, Llc
DBA Doing business as
Authorized official Geddes, Stephen Phillip
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 5th, 2023
Last updated Jul 5th, 2023 - about last year

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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