REGION XI FIELD FISCAL OFFICE


Address: 1400 Peterson Ave N Ste D, Douglas, GA 31533-2833
Phone: 9123894691

REGION XI FIELD FISCAL OFFICE (NPI# 1700442753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700442753
Entity Type Organization
Organization Name REGION XI FIELD FISCAL OFFICE
Practice Address 1400 Peterson Ave N Ste D
Douglas
GA 31533-2833
Mailing Address Po Box 690
Douglas
GA 31534-0690
Practice Telephone 9123894691
Mailing Telephone 9123894691
Mailing Fax Number 9123894996
Enumeration Date 2019-05-15
Last Update Date 2019-05-15
Authorized Official Name GINA MORRIS (ACCOUNTANT)
Authorized Official Telephone 9123894691
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251K00000X Public Health or Welfare Agencies

Office Location

Street Address 1400 PETERSON AVE N STE D
City DOUGLAS
State GA
Zip Code 31533-2833

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508470964 Swain Drug Company LLC Pharmacy 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 2020-09-03
1811528649 Unison Behavioral Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 211 North Street, Douglas, GA 31533 2020-01-30
1952940793 Teresa Smith Pharmacist 901 W Ward St, Douglas, GA 31533 2019-12-26
1447641048 Jennifer Spivey Nurse Practitioner 326 Shirley Avenue, Douglas, GA 31533 2015-02-18
1972914497 Jessica Lynne Courson Nurse Practitioner 903 West Ward Street, Suite B, Douglas, GA 31533 2014-05-19
1063840296 South Central Primary Care Center Clinic/Center 303 Shirley Ave, Ste B, Douglas, GA 31533 2013-10-25
1336411008 Unison Behavioral Health Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 118 Coweta Avenue South, Douglas, GA 31533 2012-01-27
1346482700 V and V Clinic Pediatrics 1020 West Bryan Street, Douglas, GA 31533 2009-04-01
1063650406 Jayla Snipes Bullock Speech-Language Pathologist 618 Bowens Mill Road Sw, Douglas, GA 31533 2009-01-22
1417112707 Southern Community Services Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 315 S. Gaskin Ave, Douglas, GA 31533 2008-07-25
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Taxonomy Information

Taxonomy Code 251K00000X
Grouping Agencies
Classification Public Health or Welfare

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477982395 Psa Behavioral Health Agency Public Health or Welfare 541 E 10th St, Douglas, AZ 85607-2009 2013-11-01
1316015316 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1940 E 11th St, Douglas, AZ 85607-2413 2006-11-30
1255438651 County of Converse Public Health or Welfare 442 Center, Douglas, WY 82633 2006-09-20
1316976699 Coffee County Board of Health Public Health or Welfare 1003 Shirley Ave, Douglas, GA 31533-2123 2006-06-30
1225074685 Town of Douglas Public Health or Welfare 29 Depot St, Douglas, MA 01516-2374 2006-06-22
1952346074 Coffee County Board of Health Public Health or Welfare 1111 Baker Hwy W, Douglas, GA 31533-2107 2006-06-20
1124016019 Southeastern Arizona Behavioral Health Services, Inc. Public Health or Welfare 1701 N Douglas Ave, Douglas, AZ 85607-1019 2005-10-13
1366864423 Psa Behavioral Health Agency Public Health or Welfare 1500 E 15th St, Room 608, Douglas, AZ 85607-1731 2014-01-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073136990 Middle Flint Area Community Service Board Public Health or Welfare 106 W Furlow St, Americus, GA 31709-4110 2020-05-27
1023645728 Emanuel County Board of Health Public Health or Welfare 50 Ga Highway 56 N, Swainsboro, GA 30401-4441 2020-03-24
1508498544 Benard & Romulus LLC Public Health or Welfare 917 Revere Way, Hampton, GA 30228-5969 2020-02-07
1770142309 Region 14 Department of Family and Children Services Public Health or Welfare 178 Sams St, Decatur, GA 30030-4134 2019-06-07
1841856242 Dfcs Region Ix Public Health or Welfare 904 Claxton Dairy Rd, Dublin, GA 31021-5423 2019-05-13
1740750181 Cherokee County Health Department Public Health or Welfare 7545 Main St Bldg 100, Woodstock, GA 30188-1615 2018-11-28
1396211694 Everybody Vs Cancer Foundation Public Health or Welfare 5040 Snapfinger Woods Dr Ste 201c, Decatur, GA 30035-4020 2018-10-15
1760963482 Esther Natacha Lafontant Public Health or Welfare 3205 Maple Terrace Drive, Suwanee, GA 30024 2018-08-22
1538652425 Tiffany Baggett Public Health or Welfare 1650 Barnes Mill Rd Apt 223, Marietta, GA 30062-7553 2018-06-14
1578096186 Wendy Simmons Public Health or Welfare 9120 Hannahs Crossing Dr, Gainesville, GA 30506-3945 2017-04-10
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Competitor

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City DOUGLAS
Zip Code 31533

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Dataset Information

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.

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