Clayton Csb

LBN: Clayton Mhddad
Clayton Csb is an health care organization with primary practice located at 1585 Pintail Rd , Jonesboro GA 30238-6641. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Clayton Mhddad can be contacted via phone (770) 478-2280, or through Cole, Terry via phone (770) 478-2280.

Contact Information

Primary practice address
1585 Pintail Rd Jonesboro GA 30238-6641
Phone: (770) 478-2280
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cole, Terry
Phone: (770) 478-2280

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1861700973
LBN Legal business name Clayton Mhddad
DBA Doing business as Clayton Csb
Authorized official Cole, Terry
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2010
Last updated Sep 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861700973 NPPES
Georgia MEDICAID 00606922AQ

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