Ogeechee Behavioral Health Services
Organization Active NPI Community/Behavioral Health Agency · Louisville, GA
NPI 1437209665 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1437209665
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- OGEECHEE BEHAVIORAL HEALTH SERVICES
- Practice address
- 1114 Clarks Mill Rd
Louisville, GA 30434-5304 - Phone
- (478) 625-7214
- Fax
- (478) 625-7240
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
Authorized official
- Name
- J. Frank Brantley
- Title
- Executive Director
- Phone
- (478) 289-2522
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Ogeechee Behavioral Health Services
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1114 Clarks Mill Rd
Louisville, GA 30434-5304
Mailing address
223 North Anderson Drive
P O Box 1259
Swainsboro, GA 30401
Phone (478) 289-2522
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10061731 | Medicaid | GA |
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All providers in Louisville, 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 Aug 22, 2020. 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.