Chattahoochee Valley Family
LBN: Chattahoochee Valley Family
Chattahoochee Valley Family is an health care organization with primary practice located at 1810 Stadium Drive Ste 240 , Phenix City AL 36867. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Chattahoochee Valley Family can be contacted via phone (334) 291-8303, or through Dillard, Gary A via phone (334) 291-8322.
Contact Information
Primary practice address
1810 Stadium Drive Ste 240
Phenix City AL 36867
Phone: (334) 291-8303
Fax: (334) 291-8325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1760598643 |
|---|---|
| LBN Legal business name | Chattahoochee Valley Family |
| DBA Doing business as | |
| Authorized official | Dillard, Gary A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 2nd, 2010 - about 14 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 | 1760598643 | NPPES |
| Georgia | Other | 52669717-001 | BCBS GA |
| Georgia | Other | 51512167 | BCBS GA |
| Georgia | MEDICAID | 009907915 | BCBS GA |
| Georgia | MEDICAID | 009907905 | BCBS GA |
| Georgia | Other | 52051956-003 | BCBS GA |
| Georgia | Other | 51512168 | BCBS GA |
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