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Contact Information

DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
325 LAWRENCE RD
CENTRAL STATE HOSPITAL
MILLEDGEVILLE, GA31062-7525
 Phone: 478-445-4041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES

NPI # 1861505430
LBN Legal business name DEPARTMENT OF BEHAVIORAL HEALTH AND DEVELOPMENTAL DISABILITIES
Authorized official LARRY LATHAM - (REGIONAL HOSPITAL ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2006
Last updated 09/15/2011 - About 15 years ago
Identifiers
GA License # PHH006409
GA Medicaid 00355704A
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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