East Central Regional Hospital

LBN: Department Of Behavioral Health And Developmental Disabilities
East Central Regional Hospital is an health care organization with primary practice located at 100 Myrtle Blvd , Gracewood GA 30812-1500. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Department Of Behavioral Health And Developmental Disabilities can be contacted via phone (706) 790-2496, or through Brock, Paul via phone (706) 790-2030.

Contact Information

Primary practice address
100 Myrtle Blvd Gracewood GA 30812-1500
Phone: (706) 790-2496
Fax: (706) 790-2340
Website:
Map and Directions
Authorized official contact:
Name: Brock, Paul
Phone: (706) 790-2030

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X PHH004147 Georgia

Profile Details

NPI number 1992036909
LBN Legal business name Department Of Behavioral Health And Developmental Disabilities
DBA Doing business as East Central Regional Hospital
Authorized official Brock, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2010
Last updated May 20th, 2015 - about 9 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 1992036909 NPPES
Georgia Other 1110395 NCPDP
Georgia MEDICAID 000355737A NCPDP

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