RIVER EDGE BEHAVORIAL HEALTH CENTER (NPI# 1033279021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033279021 |
| Entity Type | Organization |
| Organization Name | RIVER EDGE BEHAVORIAL HEALTH CENTER |
| Other Organization Name | EAST MAIN ST |
| Practice Address |
109 East Main St. Jeffersonville GA 31044 |
| Practice Telephone | 4787514519 |
| Mailing Telephone | 4787514519 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. EMILY BETH TYLER (CFO) |
| Authorized Official Telephone | 4787523231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | GA | Agencies |
| Other Name | Type Code |
|---|---|
| East Main ST | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235290859 | River Edge Behavorial Health Center | Community/Behavioral Health | 324 Highway 18 East, Gray, GA 31032 | 2006-12-13 |
| 1063572774 | River Edge Behavorial Health Center | Community/Behavioral Health | 930 East Third Street, Macon, GA 31201 | 2006-12-11 |
| 1538228945 | River Edge Behavorial Health Center | Community/Behavioral Health | 172 Emery Hwy, Macon, GA 31217-3656 | 2006-12-08 |
| 1245399666 | River Edge Behavorial Health Center | Community/Behavioral Health | 110 Maggie Califf St, Gray, GA 31032-9322 | 2006-12-08 |
| Street Address |
109 EAST MAIN ST. |
| City | JEFFERSONVILLE |
| State | GA |
| Zip Code | 31044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194996421 | Community Health Care Systems, Inc. | Clinic/Center | 101 Watson Rd, Jeffersonville, GA 31044 | 2008-03-14 |
| 1306853908 | Twiggs Department of Public Health | Public Health or Welfare | 26 Main St., Jeffersonville, GA 31044 | 2006-08-03 |
| 1518521418 | Her Own Incorporation | Non-emergency Medical Transport (VAN) | 470 Martin Luther King Blvd, Jeffersonville, GA 31044-3432 | 2019-04-25 |
| 1033329602 | Sims Healthcare, Inc | Pharmacy | 13762 Us Highway 80, Jeffersonville, GA 31044-3509 | 2007-05-23 |
| 1134675549 | Michael Sims | Pharmacist | 13762 Us Highway 80, Jeffersonville, GA 31044-3509 | 2016-08-27 |
| 1265906960 | D'netra Latrice Young-lawal | Social Worker | 224 Main St, Jeffersonville, GA 31044-3642 | 2019-01-15 |
| 1356747885 | Crystal Stephens | Occupational Therapy Assistant | 61 Hillcrest Dr, Jeffersonville, GA 31044-3723 | 2014-11-11 |
| 1023204864 | River Edge Behavioral Health Center | Community/Behavioral Health | 952 Main St, Jeffersonville, GA 31044-3727 | 2007-09-14 |
| 1366857609 | Twiggs County Public Schools | Registered Nurse | 952 Main St, Jeffersonville, GA 31044-3727 | 2014-06-25 |
| 1356687560 | Jeffersonville Healthcare & Rehab, LLC | Skilled Nursing Facility | 113 Spring Valley Rd, Jeffersonville, GA 31044-3917 | 2012-12-14 |
| Find all providers in zip 31044 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662980 | Elizabeth Tully, Lcsw, LLC | Community/Behavioral Health | 590 Missouri Ave Ste 206c, Jeffersonville, IN 47130-3084 | 2019-01-10 |
| 1861850232 | Family Ark | Community/Behavioral Health | 101 Noah's Ln, Jeffersonville, IN 47130 | 2016-02-01 |
| 1821402843 | Jacquelyn Bainbridge | Community/Behavioral Health | 30 Portage Pl, Jeffersonville, IN 47130-5782 | 2014-06-18 |
| 1437448297 | Res-care, Inc. | Community/Behavioral Health | 6200 E Highway 62, Suite 675, Jeffersonville, IN 47130-8769 | 2011-04-01 |
| 1023204864 | River Edge Behavioral Health Center | Community/Behavioral Health | 952 Main St, Jeffersonville, GA 31044-3727 | 2007-09-14 |
| 1841335650 | Lifespring, Inc | Community/Behavioral Health | 460 Spring Street, Jeffersonville, IN 47130 | 2007-02-20 |
| 1629533229 | Family and Childrens Place | Community/Behavioral Health | 100 W Court Ave, Jeffersonville, IN 47130-3502 | 2019-02-07 |
| 1063853620 | Family & Children's First, Inc | Community/Behavioral Health | 100 W Court Ave, Suite 102, Jeffersonville, IN 47130-3502 | 2013-07-11 |
| 1558502294 | River Edge Behavioral Health Center | Community/Behavioral Health | 109 E Main St, Jeffersonville, GA 31044-9426 | 2009-03-10 |
| 1194864843 | Wellstone Regional Hospital Acquisition LLC | Community/Behavioral Health | 2700 Vissing Park Rd, Jeffersonville, IN 47130-5943 | 2007-02-06 |
| Find all providers in JEFFERSONVILLE | ||||
| City | JEFFERSONVILLE |
| Zip Code | 31044 |
Please comment or provide details below to improve the information on RIVER EDGE BEHAVORIAL HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.