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Community Service Board of Middle Georgia

Organization Active NPI Community/Behavioral Health Agency · Dublin, GA

NPI 1104255256 · NPPES record last updated Nov 8, 2013

Key facts

NPI
1104255256
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
084851 (GA)
Legal business name
COMMUNITY SERVICE BOARD OF MIDDLE GEORGIA
Practice address
2121A Bellevue Rd
Dublin, GA 31021-2998
Phone
(478) 272-1190
Fax
(478) 275-6649
NPI assigned
Nov 8, 2013
Organization subpart
No

Authorized official

Name
Cynthia Reid
Title
Operations Analyst
Phone
(478) 272-1190

Corporate family (same tax ID) 29

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

View all 29

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Community Service Board of Middle Georgia (30 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 084851 GA Yes

Addresses

Primary practice location

2121A Bellevue Rd
Dublin, GA 31021-2998

Mailing address

2121A Bellevue Rd
Dublin, GA 31021-2998
Phone (478) 272-1190

Other identifiers

IdentifierTypeStateIssuer
300030912AMedicaidGA
1689657637MedicaidGA

Other names

  • CSB OF MIDDLE GEORGIA Other name

Other providers in Dublin, GA

All providers in Dublin, GA · Community/Behavioral Health Agency in Georgia

Sources for this page

Verify at the official NPI Registry.