Enterprise Family Healthcare

LBN: Enterprise Family Healthcare
Enterprise Family Healthcare is an health care organization with primary practice located at 2192 Ingleside Ave , Macon GA 31204-2030. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Enterprise Family Healthcare can be contacted via phone (478) 745-9880, or through Rantz, Darl Wayne via phone (478) 745-9880.

Contact Information

Primary practice address
2192 Ingleside Ave Macon GA 31204-2030
Phone: (478) 745-9880
Fax: (478) 745-8611
Website:
Map and Directions
Authorized official contact:
Name: Rantz, Darl Wayne Doctor of Medicine (MD)
Phone: (478) 745-9880

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 040767 Georgia

Profile Details

NPI number 1861894495
LBN Legal business name Enterprise Family Healthcare
DBA Doing business as
Authorized official Rantz, Darl Wayne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2014
Last updated Sep 26th, 2014 - about 10 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 1861894495 NPPES
Georgia Other 001579 RAILROAD MEDICARE

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