Statewide Healthcare, Inc

LBN: Statewide Healthcare, Inc
Statewide Healthcare, Inc is an health care organization with primary practice located at 102 Oglethorpe Professional Ct Suite 4, Savannah GA 31406-3600. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Statewide Healthcare, Inc can be contacted via phone (912) 231-8958, or through Gordon, J. Craig via phone (912) 231-8958.

Contact Information

Primary practice address
102 Oglethorpe Professional Ct Suite 4 Savannah GA 31406-3600
Phone: (912) 231-8958
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, J. Craig
Phone: (912) 231-8958

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X 621610 Georgia

Profile Details

NPI number 1902961741
LBN Legal business name Statewide Healthcare, Inc
DBA Doing business as
Authorized official Gordon, J. Craig
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Apr 6th, 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 1902961741 NPPES
Georgia MEDICAID 000510529B
Georgia MEDICAID 000510243C
Georgia MEDICAID 000621288A
Georgia MEDICAID 000510243B
Georgia MEDICAID 000510243D

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