Crisp Community Mental Health Center

LBN: Middle Flint Community Board
Crisp Community Mental Health Center is an health care organization with primary practice located at 1335 N 5Th Street Ext , Cordele GA 31015-3753. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Middle Flint Community Board can be contacted via phone (229) 276-2367, or through Davis, Pam via phone (229) 931-2470.

Contact Information

Primary practice address
1335 N 5Th Street Ext Cordele GA 31015-3753
Phone: (229) 276-2367
Fax: (229) 931-2474
Website:
Map and Directions
Authorized official contact:
Name: Davis, Pam
Phone: (229) 931-2470

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X PHRE006306 Georgia

Profile Details

NPI number 1811902448
LBN Legal business name Middle Flint Community Board
DBA Doing business as Crisp Community Mental Health Center
Authorized official Davis, Pam
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Sep 16th, 2016 - about 8 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 1811902448 NPPES
Georgia MEDICAID 734807561B
Georgia Other 2015417

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