Middle Flint Behavioral Health Care Pharmacy
LBN: Middle Flint Area Community Service Board
Middle Flint Behavioral Health Care Pharmacy is an health care organization with primary practice located at 415 N Jackson St , Americus GA 31709-3015. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Pharmacy is the primary health care specialty.
Middle Flint Area Community Service Board can be contacted via phone (229) 931-2470, or through Holt, Angela via phone (229) 815-5454.
Contact Information
Primary practice address
415 N Jackson St
Americus GA 31709-3015
Phone: (229) 931-2470
Fax: (229) 931-2474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | PHRE008689 | Georgia |
| Suppliers / Clinic Pharmacy | 3336C0002X |
Profile Details
| NPI number | 1043227929 |
|---|---|
| LBN Legal business name | Middle Flint Area Community Service Board |
| DBA Doing business as | Middle Flint Behavioral Health Care Pharmacy |
| Authorized official | Holt, Angela |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Feb 6th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043227929 | NPPES |
| Other | 2015416 | PK | |
| MEDICAID | 734807561A | PK |
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