Central City AIDS Network, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

NONE NEEDED Issued in GA

Legal business name

CENTRAL CITY AIDS NETWORK, INC.

Doing business as

The Rainbow Center

Practice address

2020 Ingleside Ave
Macon, GA 31204-2028

Phone

(478) 750-8080

Fax

(478) 750-1032

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Johnny T Fambro, NON PROFIT AIDS SERV

Title

Executive Director

Phone

(478) 750-8080

Specialties & licenses 1

Addresses

Other names 1

• The Rainbow Center Doing business as

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235230111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 INGLESIDE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042028",
            "telephone_number": "478-750-8080",
            "fax_number": "478-750-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 INGLESIDE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042028",
            "telephone_number": "478-750-8080",
            "fax_number": "478-750-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CITY AIDS NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAMBRO",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "478-750-8080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NON PROFIT AIDS SERV"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "GA",
            "license": "NONE NEEDED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rainbow Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Voluntary or Charitable Agency in Macon, GA
• Providers in Macon, GA by specialty
• Voluntary or Charitable Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.