NPIMap

Organization Active NPI

Highland Rivers Center CSB

  • Customized Equipment (DME)
  • Dalton, GA
National Provider Identifier
1407084387
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
HIGHLAND RIVERS CENTER CSB
Practice address
1620 Hickory St
Suite 408
Dalton, GA 30720-2312
Phone
(706) 270-5003
Fax
(706) 370-7749
NPI assigned
Jun 30, 2009
Last updated
Jun 30, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
HIGHLAND RIVERS CENTER CSBAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Mr. Frank Aaron
Title
Ceo
Phone
(706) 270-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

1620 Hickory St
Suite 408
Dalton, GA 30720-2312

Mailing address

1620 Hickory St
Suite 408
Dalton, GA 30720-2312
Phone (706) 270-5003

Other identifiers 2

IdentifierTypeStateIssuer
000603468NMedicaidGA
1447256243OtherGAORGANIZATIONAL NPI NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Highland Rivers Communi123 organizations share this tax ID, including this one
Part of
Highland Rivers Communi

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1620 Hickory St
Ste 408
Dalton, GA 30720
Phone (706) 270-5003

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1407084387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 HICKORY ST",
            "address_2": "SUITE 408",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202312",
            "telephone_number": "706-270-5003",
            "fax_number": "706-370-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 HICKORY ST",
            "address_2": "SUITE 408",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202312",
            "telephone_number": "706-270-5003",
            "fax_number": "706-370-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND RIVERS CENTER CSB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGHLAND RIVERS CENTER CSB",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "AARON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-270-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000603468N",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI NUMBER",
            "identifier": "1447256243",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.