NPIMap

Organization Active NPI

Phoenix Center Community Service Board

Doing business as Phoenix Center BHS

  • Community/Behavioral Health Agency
  • Roberta, GA
National Provider Identifier
1114195914
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PHOENIX CENTER COMMUNITY SERVICE BOARD
Doing business as
Phoenix Center BHS
Practice address
80 Wright Ave
Roberta, GA 31078
Phone
(478) 988-1002
Fax
(478) 988-8780
NPI assigned
Feb 14, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
PHOENIX CENTER COMMUNITY SERVICE BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Sandra Olsen
Title
Cfo
Phone
(478) 988-1002

Specialties & licenses 1

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

Addresses

Primary practice location

80 Wright Ave
Roberta, GA 31078

Mailing address

940 Ga Highway 96
Warner Robins, GA 31088-2584
Phone (478) 988-1002

Other names 1

  • PHOENIX CENTER BHS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Ctr Comm SVC Board10 organizations share this tax ID, including this one
Part of
Phoenix Ctr Comm SVC Board

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1114195914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 GA HIGHWAY 96",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882584",
            "telephone_number": "478-988-1002",
            "fax_number": "478-988-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WRIGHT AVE",
            "city": "ROBERTA",
            "state": "GA",
            "postal_code": "31078",
            "telephone_number": "478-988-1002",
            "fax_number": "478-988-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CENTER COMMUNITY SERVICE BOARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX CENTER COMMUNITY SERVICE BOARD",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "478-988-1002"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PHOENIX CENTER BHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roberta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.