NPIMap

Organization Active NPI

Highland Rivers Community Service Board

  • Community/Behavioral Health Agency
  • Dalton, GA
National Provider Identifier
1649523671
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HIGHLAND RIVERS COMMUNITY SERVICE BOARD
Practice address
2676 S Riverbend Rd
Dalton, GA 30721-5221
Phone
(706) 270-5033
Fax
(706) 370-7749
NPI assigned
Oct 15, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Robin Whitlow
Title
Billing Manager
Phone
(706) 270-5033

Corporate family (same tax ID) 24

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

National Provider Directory

National Provider Directory
Tax ID family
Highland Rivers Center CSB (123 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2676 S Riverbend Rd
Dalton, GA 30721-5221

Mailing address

1401 Applewood Dr Ste 1
Dalton, GA 30720-2699
Phone (706) 270-5033

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
000601807AAMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2012.

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1649523671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 APPLEWOOD DR STE 1",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307202699",
            "telephone_number": "706-270-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2676 S RIVERBEND RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307215221",
            "telephone_number": "706-270-5033",
            "fax_number": "706-370-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND RIVERS COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "WHITLOW",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "706-270-5033"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000601807AA",
            "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 Oct 15, 2012; 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.