Rehoboth Miracle Healthcare Services

LBN: Rehoboth Miracle Llc
Rehoboth Miracle Healthcare Services is an health care organization with primary practice located at 140 Shiver Blvd , Covington GA 30016-1399. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Rehoboth Miracle Llc can be contacted via phone (678) 712-6073, or through Ramsay, Debrah Olive Ann via phone (678) 712-6073.

Contact Information

Primary practice address
140 Shiver Blvd Covington GA 30016-1399
Phone: (678) 712-6073
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ramsay, Debrah Olive Ann COLL CERT IND REL
Phone: (678) 712-6073

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 107 R 0894 Georgia

Profile Details

NPI number 1245519511
LBN Legal business name Rehoboth Miracle Llc
DBA Doing business as Rehoboth Miracle Healthcare Services
Authorized official Ramsay, Debrah Olive Ann COLL CERT IND REL
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2011
Last updated Aug 4th, 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 1245519511 NPPES
Georgia Other 107 R 0894 GEORGIA DEPARTMENT OF COMMUNITY HEALTH

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