Chichesters Ingleside
LBN: Chichesters Ingleside
Chichesters Ingleside is an health care organization with primary practice located at 3051 Vineville Ave , Macon GA 31204-2460. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Chichesters Ingleside can be contacted via phone (478) 746-9608, or through Wright, Timothy via phone (478) 746-9608.
Contact Information
Primary practice address
3051 Vineville Ave
Macon GA 31204-2460
Phone: (478) 746-9608
Fax: (478) 742-6437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHRE000280 | Georgia |
Profile Details
| NPI number | 1760511547 |
|---|---|
| LBN Legal business name | Chichesters Ingleside |
| DBA Doing business as | Chichesters Ingleside |
| Authorized official | Wright, Timothy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jan 28th, 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 | 1760511547 | NPPES |
| Other | 1111638 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 00023207A | NCPDP PROVIDER IDENTIFICATION NUMBER |
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