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1063464212

NPI Code Detail

MEDICARE: ALBANY AREA COMMUNITY SVC. BOARD

MEDICARE: ALBANY AREA COMMUNITY SVC. BOARD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063464212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBANY AREA COMMUNITY SVC. BOARD

Provider Business Mailing Address
First Line	:	PO BOX 1988
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31702-1988
Country	:	US
Telephone Number	:	229-430-2954
Fax Number	:	229-430-2956

Provider Business Practice Location Address
First Line	:	1120 W BROAD AVE
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31707-4397
Country	:	US
Telephone Number	:	229-430-2954
Fax Number	:	229-430-2956

Authorized Official
Title or Position	:	CEO
Name	:	DANA GLASS
Credential	:	LCSW
Telephone Number	:	229-430-4005

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	01/05/2026

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Directions to “ALBANY AREA COMMUNITY SVC. BOARD ” Practice Location

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