MIDDLE FLINT COMMUNITY BOARD; NPI #1811902448

Contact Information

MIDDLE FLINT COMMUNITY BOARD

1335 N 5TH STREET EXT
CORDELE, GA 31015-3753

Phone: 229-276-2367
Fax: 229-931-2474
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for MIDDLE FLINT COMMUNITY BOARD

NPI # 1811902448

LBN Legal business name MIDDLE FLINT COMMUNITY BOARD

Authorized official PAM DAVIS - (EXEC DIR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/30/2006

Last updated 09/16/2016 - About 10 years ago

Identifiers

GA	License #	PHRE006306
GA	Medicaid	734807561B
	Other	2015417	PK

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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MIDDLE FLINT COMMUNITY BOARD

Contact Information

Specialty

Clinic Pharmacy

NPI Profile & details for MIDDLE FLINT COMMUNITY BOARD

Reviews for MIDDLE FLINT COMMUNITY BOARD