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NPI Code Detail

MEDICARE: MIDDLE FLINT AREA COMMUNITY SERVICE BOARD

MEDICARE: MIDDLE FLINT AREA COMMUNITY SERVICE 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
1251S00000XCommunity/Behavioral Health Agency582105225GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265502025
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Provider Business Mailing Address
First Line : 940 GA HIGHWAY 96 STE C
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2585
Country : US
Telephone Number : 478-988-7100
Fax Number : 478-988-7115
Provider Business Practice Location Address
First Line : 940 GA HIGHWAY 96 STE C
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-2585
Country : US
Telephone Number : 478-988-1002
Fax Number :
Authorized Official
Title or Position : RCM MANAGER
Name : MARGARET JORDAN
Credential :
Telephone Number : 229-815-5454
Provider Enumeration Date : 11/09/2006
Last Update Date : 01/14/2020

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Practice Location Address:
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Directions to “MIDDLE FLINT AREA COMMUNITY SERVICE BOARD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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