NPIMap

Organization Active NPI

Middle Flint Area Community Service Board

Doing business as Middle Flint Behavioral Health Care Pharmacy

  • Pharmacy
  • Americus, GA
National Provider Identifier
1043227929
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE008689 Issued in GA
Legal business name
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Doing business as
Middle Flint Behavioral Health Care Pharmacy
Practice address
415 N Jackson St
Americus, GA 31709-3015
Phone
(229) 931-2470
Fax
(229) 931-2474
NPI assigned
Aug 2, 2006
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Angela Holt
Title
Ceo
Phone
(229) 815-5454

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE008689 GA Primary
Clinic Pharmacy 3336C0002X

Addresses

Primary practice location

415 N Jackson St
Americus, GA 31709-3015

Mailing address

PO Box 1348
Americus, GA 31709-1348
Phone (229) 931-2470

Other identifiers 2

IdentifierTypeStateIssuer
734807561AMedicaidGA
2015416OtherPK

Other names 1

  • Middle Flint Behavioral Health Care Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Middle Flint Area Community24 organizations share this tax ID, including this one
Part of
Middle Flint Area Community

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/middleflinthw/r4/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1043227929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1348",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317091348",
            "telephone_number": "229-931-2470",
            "fax_number": "229-931-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N JACKSON ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093015",
            "telephone_number": "229-931-2470",
            "fax_number": "229-931-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE FLINT AREA COMMUNITY SERVICE BOARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLE FLINT AREA COMMUNITY SERVICE BOARD",
        "enumeration_date": "2006-08-02",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-815-5454"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE008689",
            "primary": true
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "734807561A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2015416",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Flint Behavioral Health Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.