NPIMap

Organization Active NPI

Middle Flint Area Community Service Board

Doing business as Middle Flint Behavioral Hlthcare

  • Community/Behavioral Health Agency
  • Cordele, GA
National Provider Identifier
1972771087
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Doing business as
Middle Flint Behavioral Hlthcare
Practice address
2501 13TH Ave
Cordele, GA 31015-9122
Phone
(229) 931-2470
Fax
(229) 931-2474
NPI assigned
Feb 12, 2008
Last updated
Feb 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Pam Davis
Title
Executive Director
Phone
(229) 931-2470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2501 13TH Ave
Cordele, GA 31015-9122

Mailing address

P.O. Drawer 1348
Americus, GA 31709-1348
Phone (229) 931-2470

Other names 1

  • Middle Flint Behavioral Hlthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Middle Flint Behavior H24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Locations

2501 E 13th Ave
Cordele, GA 31015

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1972771087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. DRAWER 1348",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317091348",
            "telephone_number": "229-931-2470",
            "fax_number": "229-931-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 13TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310159122",
            "telephone_number": "229-931-2470",
            "fax_number": "229-931-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE FLINT AREA COMMUNITY SERVICE BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "229-931-2470"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middle Flint Behavioral Hlthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cordele, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.