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STATEWIDE HEALTH CARE INC NPI 1295279495


NPI Information

NPI: 1295279495
Provider Name: STATEWIDE HEALTH CARE INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
102 OGLETHORPE PROFESSIONAL CT
SUITE 4
SAVANNAH, GA
ZIP 31406
Phone: (912) 231-8958
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STATEWIDE HEALTH CARE INC is a community behavioral health in Savannah, 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. STATEWIDE HEALTH CARE INC NPI is 1295279495. The provider is registered as an organization entity type.

The provider's business location address is:

102 OGLETHORPE PROFESSIONAL CT
SUITE 4
SAVANNAH, GA
ZIP 31406-600
Phone: (912) 231-8958
Fax: (912) 234-7701

The provider's authorized official is J Craig Gordon .
The authorized official title is Ceo and has the following contact phone number (912) 231-8958.

The enumeration date for this NPI number is 12/7/2016 and was last updated on 12/7/2016.


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 HealthYes

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
1000510243CMEDICAIDGEORGIA
2000510243DMEDICAIDGEORGIA
3000510529YMEDICAIDGEORGIA
4000621288AMEDICAIDGEORGIA
5000510243BMEDICAIDGEORGIA
6000510529AAMEDICAIDGEORGIA
7000510529BMEDICAIDGEORGIA

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: 11/14/2023

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