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MIDDLE FLINT AREA COMMUNITY SERVICE BOARD NPI 1215934773


NPI Information

NPI: 1215934773
Provider Name: MIDDLE FLINT AREA COMMUNITY SERVICE BOARD

Doing Business As: WARNER ROBINS OUTPATIENT

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
940 GA HIGHWAY 96 STE A
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 988-1002
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MIDDLE FLINT AREA COMMUNITY SERVICE BOARD is a community behavioral health in Warner Robins, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. MIDDLE FLINT AREA COMMUNITY SERVICE BOARD NPI is 1215934773. The provider is registered as an organization entity type.
The provider Is Doing Business As Warner Robins Outpatient.

The provider's business location address is:

940 GA HIGHWAY 96 STE A
WARNER ROBINS, GA
ZIP 31088-587
Phone: (478) 988-1002
Fax: (478) 988-8780

The provider's authorized official is Margaret Jordan .
The authorized official title is Rcm Manager and has the following contact phone number (229) 815-5454.

The enumeration date for this NPI number is 6/30/2005 and was last updated on 12/15/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health582105225GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000604502AIMEDICAIDGEORGIA
2000450128GMEDICAIDGEORGIA
3000604502AMEDICAIDGEORGIA
4000604502AGMEDICAIDGEORGIA
5000604502AJMEDICAIDGEORGIA
6000604502APMEDICAIDGEORGIA
7000604502PMEDICAIDGEORGIA

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: 4/28/2024

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