Organization
RIDGEVIEW INSTITUTE,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MONICA TIPPETT (CFO)
(770) 434-4568
Entity
Organization
Contact information
Practice address
3995 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 434-4567
(770) 431-7045
Mailing address
3995 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 434-4567
(770) 431-7045
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
033-304
GA
283X00000X
Rehabilitation Hospital
033-304
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100091
BCBS
GA
01
—
58207755001
CHAMPUS/TRICARE
GA
Enumeration date
06/01/2005
Last updated
07/16/2007
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