CSB OF EAST CENTRAL GEORGIA (NPI# 1609942119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609942119 |
| Entity Type | Organization |
| Organization Name | CSB OF EAST CENTRAL GEORGIA |
| Other Organization Name | WILKES COUNTY MENTAL HEALTH |
| Practice Address |
124 Gordon St Washington GA 30673-1602 |
| Practice Telephone | 7066781395 |
| Practice Fax Number | 7064323780 |
| Mailing Telephone | 7067927267 |
| Mailing Fax Number | 7064323780 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-06-19 |
| Authorized Official Name | WANDA L. JESSIE (BILLING MANAGER) |
| Authorized Official Telephone | 7064324858 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000606317F | 05 |
| Other Name | Type Code |
|---|---|
| Wilkes County Mental Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689945909 | Csb of East Central Georgia | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4054 Bath Edie Rd, Blythe, GA 30805-3600 | 2012-01-18 |
| 1447326541 | Csb of East Central Georgia | Clinic/Center | 1720 Central Ave, Augusta, GA 30904-5737 | 2006-11-28 |
| 1285700385 | Csb of East Central Georgia | Clinic/Center | 3405 Building #15, Augusta, GA 30906-3815 | 2006-11-28 |
| 1659544369 | Csb of East Central Georgia | Clinic/Center | 3421 Mike Padgett Hwy, Augusta, GA 30906-3815 | 2008-04-03 |
| Street Address |
124 GORDON ST |
| City | WASHINGTON |
| State | GA |
| Zip Code | 30673-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164441150 | Katharine Watson Sanders | General Practice | 124 Gordon St, Washington, GA 30673-1602 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477893766 | Andrew D Smoot | Specialist/Technologist | 119 W Robert Toombs Ave, A, Washington, GA 30673 | 2013-02-22 |
| 1033418975 | Hulin Transportation, Inc. | Respite Care | 906 Sandtown Rd., Washington, GA 30673 | 2011-03-17 |
| 1730404047 | Brian James Ackermann | Chiropractor | 22 West Robert Toombs Ave, R, Washington, GA 30673 | 2010-03-30 |
| 1922129105 | David T. Kirk and Associates | Clinic/Center | 206 Hospital Dr., Washington, GA 30673 | 2007-04-03 |
| 1316089097 | Medstar Homecare | Durable Medical Equipment & Medical Supplies | 906 Sandtown Road, Washington, GA 30673 | 2007-02-12 |
| 1639249600 | Wilkes County Board of Education | Local Education Agency (LEA) | 313 A. North Alexander Ave, Wilkes, GA 30673 | 2006-11-08 |
| 1396788097 | Wilkes County Board of Commissioners | Ambulance | 105 Marshall Street, Washington, GA 30673 | 2006-06-13 |
| 1568507879 | Charles Joseph Fievet Sr. | Pharmacist | 115 E Robert Toombs Ave, Washington, GA 30673 | 2007-02-21 |
| 1629378831 | Jessica Jo Fields | Physician Assistant | 212 Hospital Drive, Washington, GA 30673-0568 | 2010-10-22 |
| 1043263031 | Pruitthealth - Washington, LLC | Skilled Nursing Facility | 112 Hospital Drive, Washington, GA 30673-0578 | 2006-05-18 |
| Find all providers in zip 30673 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736747 | Jennifer Virgo Therapy, Pllc | Clinic/Center | 3902 14th St Nw Apt 621, Washington, DC 20011-5444 | 2020-09-28 |
| 1730799974 | Keisha Nicole Keith | Clinic/Center | 2625 Patricia Roberts Harris Pl Ne, Washington, DC 20018-1614 | 2020-08-03 |
| 1710503784 | Inner Banks Counseling Inc. | Clinic/Center | 305 Pine Ln, Washington, NC 27889-9674 | 2020-06-24 |
| 1023634573 | Cqc Healthcare, LLC | Clinic/Center | 1100 New Jersey Ave Se # 2145, Washington, DC 20003-3302 | 2020-06-21 |
| 1083237457 | Unity Health Care, Inc. | Clinic/Center | 1501 Rhode Island Ave Nw, Washington, DC 20005-5504 | 2020-05-20 |
| 1477174803 | Unity Health Care, Inc. | Clinic/Center | 10 I St Sw, Washington, DC 20024-4266 | 2020-04-27 |
| 1922627546 | Unity Health Care, Inc | Clinic/Center | 2305 New York Ave Ne, Washington, DC 20002-1905 | 2020-04-14 |
| 1033738653 | Unity Health Care, Inc | Clinic/Center | 1917 Bladensburg Rd Ne, Washington, DC 20002-1811 | 2020-04-14 |
| 1376162040 | Unity Health Care, Inc. | Clinic/Center | 1615 New York Ave Ne, Washington, DC 20002-1725 | 2020-04-13 |
| 1518427970 | Patrons Healthcare Services | Clinic/Center | 7826 Eastern Ave Nw Ste 412d, Washington, DC 20012-1324 | 2019-03-21 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 30673 |
Please comment or provide details below to improve the information on CSB OF EAST CENTRAL GEORGIA.
| 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.