Georgia Pines Community Service Board
Organization Active NPI Community/Behavioral Health Agency · Thomasville, GA
NPI 1376042838 · NPPES record last updated Feb 9, 2018
Key facts
- NPI
- 1376042838
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- GEORGIA PINES COMMUNITY SERVICE BOARD
- Practice address
- 105 Bermuda St
Thomasville, GA 31792-4018 - Phone
- (229) 233-8902
- NPI assigned
- Feb 9, 2018
- Organization subpart
- No
Authorized official
- Name
- Jonas Norman
- Title
- Clerical Support
- Phone
- (229) 225-5031
Corporate family (same tax ID) 34
National Provider Directory
- Tax ID family
- Georgia Pines Community Service Board
Locations
1102 Smith Ave
Ste K
Thomasville, GA 31792
Phone (912) 227-5468
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
105 Bermuda St
Thomasville, GA 31792-4018
Mailing address
1102 Smith Ave Ste K
Thomasville, GA 31792-5740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000754795H | Medicaid | GA |
Other providers in Thomasville, GA
- Georgia Pines Community Service Board
- Georgia Pines Community Service Board
- Georgia Pines Community Service Board
- Georgia Pines Community Service Board
- Georgia Pines Community Service Board
- Georgia Pines Community Service Board
- Georgia Pines Community Service Board
- Georgia Pines Community Service Board
- Georgia Pines Community Service Board
- Georgia Pines Community Service Board
All providers in Thomasville, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.