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NPI Code Detail

MEDICARE: OGEECHEE BEHAVIORAL HEALTH SERVICES

MEDICARE: OGEECHEE BEHAVIORAL HEALTH SERVICES
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194000190
Entity Type Code : Organization
Provider Name (Legal Business Name) : OGEECHEE BEHAVIORAL HEALTH SERVICES
Provider Business Mailing Address
First Line : 223 N ANDERSON DR
Second Line : P O BOX 1259
City : SWAINSBORO
State : GA
Zip : 30401-4440
Country : US
Telephone Number : 478-289-2683
Fax Number :
Provider Business Practice Location Address
First Line : 293 LITTLE CANOOCHEE CREEK RD
Second Line :
City : TWIN CITY
State : GA
Zip : 30471-4123
Country : US
Telephone Number : 478-289-2683
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : DAN BARNARD
Credential : LPC
Telephone Number : 478-289-2683
Provider Enumeration Date : 10/21/2011
Last Update Date : 10/21/2011

Similar Medicare Providers

1710407176 — COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Practice Location Address:
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Practice Fax:
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1134119936 — EMANUEL COUNTY HOSPITAL AUTHORITY
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1265526057 — 2-K PHARMAKON SERVICES LLC
Practice Location Address:
507 S RAILROAD AVE
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1598828691 — NATIONAL ASSISTANCE BUREAU INC.
Practice Location Address:
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Directions to “OGEECHEE BEHAVIORAL HEALTH SERVICES ” Practice Location

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