Organization
ARCHBOLD HEALTH SERVICES, INC.
Active
Other names
Archbold Home Dialysis Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM CLAY CAMPBELL (EXEC. VICE PRESIDENT)
(229) 228-2200
Entity
Organization
Contact information
Practice address
112 MIMOSA DR, THOMASVILLE, GA 31792-6605
(229) 228-2783
(229) 551-8732
Mailing address
PO BOX 620, THOMASVILLE, GA 31799-0620
(229) 228-2783
(229) 551-8732
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
ESRD001121
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00367881A
—
GA
Enumeration date
05/10/2006
Last updated
08/22/2020
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