OGEECHEE BEHAVIORAL HEALTH SERVICES NPI 1538214374

NPI Information

NPI: 1538214374
Provider Name: OGEECHEE BEHAVIORAL HEALTH SERVICES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 11D0975349

Address:
292 W 4TH ST
WAYNESBORO, GA
ZIP 30830
Phone: (706) 437-6863
Get Directions

OGEECHEE BEHAVIORAL HEALTH SERVICES is a mental health (including community mental health center) clinic center in Waynesboro, GA. OGEECHEE BEHAVIORAL HEALTH SERVICES NPI is 1538214374. The provider is registered as an organization entity type.

The provider's business location address is:

292 W 4TH ST
WAYNESBORO, GA
ZIP 30830-559
Phone: (706) 437-6863
Fax: (706) 437-6860

The provider's authorized official is Amy A Tribble .
The authorized official title is Executive Director and has the following contact phone number (478) 289-2522.

The CLIA number assigned to this NPI record is 11D0975349 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	000606383V	MEDICAID	GEORGIA
2	10061731	MEDICAID	GEORGIA
3	814702000	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »