Tri Star Drug And Alcohol

LBN: Tri Star Drug And Alcohol
Tri Star Drug And Alcohol is an health care organization with primary practice located at 600 N Jefferson St Unit C , Dublin GA 31021-6302. The organization recently has 6 registered licenses in different health care specialties including Agencies / Home Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Occupational Medicine, Suppliers / Home Delivered Meals. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Tri Star Drug And Alcohol can be contacted via phone (478) 292-5755, or through Goolsby, John William via phone (478) 246-1027.

Contact Information

Primary practice address
600 N Jefferson St Unit C Dublin GA 31021-6302
Phone: (478) 292-5755
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goolsby, John William
Phone: (478) 246-1027

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Community Health 261QC1500X
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Occupational Medicine 261QX0100X
Suppliers / Home Delivered Meals 332U00000X

Profile Details

NPI number 1285341503
LBN Legal business name Tri Star Drug And Alcohol
DBA Doing business as
Authorized official Goolsby, John William
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2022
Last updated Nov 7th, 2022 - about 2 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 1285341503 NPPES
Georgia MEDICAID 1421

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