Lookout Mountain Community Services

LBN: Lookout Mountain Community Services
Lookout Mountain Community Services is an health care organization with primary practice located at 107 Alex Dr , Chickamauga GA 30707-4154. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Lookout Mountain Community Services can be contacted via phone (706) 539-2228, or through Ford, Thomas W. via phone (706) 638-5584.

Contact Information

Primary practice address
107 Alex Dr Chickamauga GA 30707-4154
Phone: (706) 539-2228
Fax: (706) 539-1521
Website:
Map and Directions
Authorized official contact:
Name: Ford, Thomas W. PH.D.
Phone: (706) 638-5584

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1528132750
LBN Legal business name Lookout Mountain Community Services
DBA Doing business as
Authorized official Ford, Thomas W. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1528132750 NPPES
Georgia MEDICAID 00604513D-31

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