Augusta Community Services Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

0000000000 Issued in GA

Legal business name

AUGUSTA COMMUNITY SERVICES INC

Doing business as

Friendship Community Center

Practice address

1720 Central Ave
Augusta, GA 30904-5737

Phone

(706) 736-4339

Fax

(706) 738-3548

NPI assigned

Aug 20, 2016

Organization subpart

Yes

Parent organization

MENTAL HEALTH AMERICA AUGUSTA CHAPTERAs reported in NPPES

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

Authorized official

Name

Mr. Leonard Carl Maxey

Title

Executive Director

Phone

(706) 736-4339

Specialties & licenses 1

Addresses

Other names 1

• Friendship Community Center Doing business as

Locations

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1861947772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045737",
            "telephone_number": "706-736-4339",
            "fax_number": "706-738-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CENTRAL AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045737",
            "telephone_number": "706-736-4339",
            "fax_number": "706-738-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGUSTA COMMUNITY SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL HEALTH AMERICA AUGUSTA CHAPTER",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "MAXEY",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-736-4339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "0000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friendship Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Augusta, GA
• Providers in Augusta, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.