Oconee Community Service Board

LBN: Oconee Community Service Board
Oconee Community Service Board is an health care organization with primary practice located at 430 N Jefferson St Ne , Milledgeville GA 31061-2919. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Oconee Community Service Board can be contacted via phone (478) 445-4721, or through Gheesling, Jennifer B via phone (478) 445-4971.

Contact Information

Primary practice address
430 N Jefferson St Ne Milledgeville GA 31061-2919
Phone: (478) 445-4721
Fax: (478) 445-4693
Website:
Map and Directions
Authorized official contact:
Name: Gheesling, Jennifer B
Phone: (478) 445-4971

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1841467941
LBN Legal business name Oconee Community Service Board
DBA Doing business as
Authorized official Gheesling, Jennifer B
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2008
Last updated Mar 4th, 2020 - about 4 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 1841467941 NPPES
Georgia MEDICAID 000604469N
Georgia MEDICAID 000611223A
Georgia Other GRP1997
Georgia Other GRP2030

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