Greenleaf Center

LBN: Hospital Authority Of Valdosta And Lowndes County Georgia
Greenleaf Center is an health care organization with primary practice located at 2209 Pineview Dr , Valdosta GA 31602-7316. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Hospital Units / Psychiatric Unit. Hospital Units / Psychiatric Unit is the primary health care specialty. Hospital Authority Of Valdosta And Lowndes County Georgia can be contacted via phone (229) 247-4357, or through Hembree, Greg S via phone (229) 259-4160.

Contact Information

Primary practice address
2209 Pineview Dr Valdosta GA 31602-7316
Phone: (229) 247-4357
Fax: (229) 244-6194
Website:
Map and Directions
Authorized official contact:
Name: Hembree, Greg S
Phone: (229) 259-4160

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 92141 Georgia
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 92141 Georgia
Hospital Units / Psychiatric Unit 273R00000X 92141 Georgia

Profile Details

NPI number 1033160791
LBN Legal business name Hospital Authority Of Valdosta And Lowndes County Georgia
DBA Doing business as Greenleaf Center
Authorized official Hembree, Greg S
Entity Organization
Organization subpart 1 Yes
Enumeration date May 15th, 2006
Last updated May 9th, 2011 - about 13 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 1033160791 NPPES
Georgia Other HOSP24 CAHABA
Georgia MEDICAID 00001724A CAHABA

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