Organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Active
Parent organization
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Other names
Fort Valley Outpatient
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDDLE FLINT AREA COMMUNITY SERVICE BOARD
Authorized official
MARGARET JORDAN (RCM MANAGER)
(229) 815-5286
Entity
Organization
Contact information
Practice address
410 E CHURCH ST, FORT VALLEY, GA 31030-3097
(478) 825-6499
Mailing address
PO BOX 1348, AMERICUS, GA 31709-1348
(229) 815-5454
(229) 815-6606
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000604502B
—
GA
Enumeration date
11/03/2006
Last updated
01/29/2024
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