Saint Lazarus Behavioral Health Inc.
LBN: Saint Lazarus Behavioral Health Inc.
Saint Lazarus Behavioral Health Inc. is an health care organization with primary practice located at 4905 Forsyth Rd , Macon GA 31210-4401. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Saint Lazarus Behavioral Health Inc. can be contacted via phone (865) 765-8224, or through Samuel, Samuel Inimbom via phone (865) 765-8224.
Contact Information
Primary practice address
4905 Forsyth Rd
Macon GA 31210-4401
Phone: (865) 765-8224
Fax: (478) 474-6585
Website:
Authorized official contact:
Name: Samuel, Samuel Inimbom Doctor of Medicine (MD)
Phone: (865) 765-8224
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 056360 | Georgia |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 056360 | Georgia |
Profile Details
| NPI number | 1780814574 |
|---|---|
| LBN Legal business name | Saint Lazarus Behavioral Health Inc. |
| DBA Doing business as | |
| Authorized official | Samuel, Samuel Inimbom Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 15th, 2009 |
| Last updated | Jul 15th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780814574 | NPPES |
| Georgia | MEDICAID | 712889273A |
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