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Contact Information

LOOKOUT MOUNTAIN COMMUNITY SERVICES
12580 NORTH MAIN ST.
TRENTON, GA30752
 Phone: 706-657-7501
 Fax: 706-657-8005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for LOOKOUT MOUNTAIN COMMUNITY SERVICES

NPI Number 1124190962
LBN Legal business name LOOKOUT MOUNTAIN COMMUNITY SERVICES
Authorized official ALICIA HOWARD - (CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2006
Last updated 02/10/2023 - About 3 years ago
Identifiers
GA Medicaid 00604513H-42
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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