ALBANY AREA CSB NPI 1699839969

NPI Information

NPI: 1699839969
Provider Name: ALBANY AREA CSB

Other Name: EARLY CO CA

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 11D2052250

Address:
1120 W BROAD AVE
ALBANY, GA
ZIP 31707
Phone: (229) 430-4002
Get Directions

ALBANY AREA CSB is a public health or welfare in Albany, GA. ALBANY AREA CSB NPI is 1699839969. The provider is registered as an organization entity type.
The provider Other Name Is Early Co Ca.

The provider's business location address is:

1120 W BROAD AVE
ALBANY, GA
ZIP 31707-397
Phone: (229) 430-4002

The provider's authorized official is Faye Holt .
The authorized official title is Chief Executive Officer and has the following contact phone number (229) 430-4005.

The CLIA number assigned to this NPI record is 11D2052250 - other - director with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 5/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000601796L	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »