NPIMap

Organization Active NPI

Middle Flint Community Service Board

  • Community/Behavioral Health Agency
  • Americus, GA
National Provider Identifier
1366610081
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIDDLE FLINT COMMUNITY SERVICE BOARD
Practice address
615 Jackson Ave
Americus, GA 31709-4172
Phone
(229) 931-2470
Fax
(229) 931-2474
NPI assigned
Feb 15, 2008
Organization subpart
Yes
Parent organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Margaret Jordan
Title
Utilization Manager
Phone
(229) 815-5286

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

615 Jackson Ave
Americus, GA 31709-4172

Mailing address

415 N Jackson St
P.O. Drawer 1348
Americus, GA 31709-3015
Phone (229) 931-2470

Other identifiers 1

IdentifierTypeStateIssuer
000701126CMedicaidGA

Other names 1

  • Middle Flint Behavioral HrealthCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Middle Flint Behavior H24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1366610081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N JACKSON ST",
            "address_2": "P.O. DRAWER 1348",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093015",
            "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": "615 JACKSON AVE",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317094172",
            "telephone_number": "229-931-2470",
            "fax_number": "229-931-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE FLINT COMMUNITY SERVICE BOARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIDDLE FLINT AREA COMMUNITY SERVICE BOARD",
        "enumeration_date": "2008-02-15",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "UTILIZATION MANAGER",
        "authorized_official_telephone_number": "229-815-5286"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000701126C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Flint Behavioral HrealthCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Middle Flint Behavioral HrealthCare",
            "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 Dec 29, 2021; 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.