Intrepid Usa Healthcare Services

LBN: Fc Of Georgia Inc
Intrepid Usa Healthcare Services is an health care organization with primary practice located at 355 Northside Drive , Valdosta GA 31602-1861. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Fc Of Georgia Inc can be contacted via phone (229) 247-7760, or through Parker, Robert via phone (214) 445-3773.

Contact Information

Primary practice address
355 Northside Drive Valdosta GA 31602-1861
Phone: (229) 247-7760
Fax: (229) 241-9806
Website:
Map and Directions
Authorized official contact:
Name: Parker, Robert
Phone: (214) 445-3773

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 092275H Georgia

Profile Details

NPI number 1558343145
LBN Legal business name Fc Of Georgia Inc
DBA Doing business as Intrepid Usa Healthcare Services
Authorized official Parker, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2005
Last updated Nov 7th, 2022 - about 3 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 1558343145 NPPES
Georgia MEDICAID 000775541A

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