| Ancor West - Comp | |
|
12580 N Main St Suite B Trenton GA 30752-2227 | |
| (706) 638-5580 | |
| (706) 638-5445 |
| Full Name | Ancor West - Comp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12580 N Main St, Trenton, Georgia |
| Authorized Official Name and Position | Tom Ford (CEO) |
| Authorized Official Contact | 7066385580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ancor West - Comp Po Box 1027 La Fayette GA 30728-1027 Ph: (706) 638-5580 | Ancor West - Comp 12580 N Main St Suite B Trenton GA 30752-2227 Ph: (706) 638-5580 |
| NPI Number | 1659601300 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 12/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659601300 | NPI | - | NPPES |
| 000604513DF | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12580 North Main St., Trenton, GA 30752 Phone: 706-657-7501 Fax: 706-657-8005 | |
Highland Rivers Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8900 Highway 301, Trenton, GA 30752 Phone: 706-270-5033 Fax: 706-370-7749 | |
Ancor West-now Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12580 N Main St, Suite B, Trenton, GA 30752 Phone: 706-638-5580 Fax: 706-638-5445 | |
Highland Rivers Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 226 Workman Rd, Trenton, GA 30752 Phone: 706-270-5033 Fax: 706-370-7749 | |
Lookout Mountain Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 568 Poplar St, Trenton, GA 30752 Phone: 706-638-5580 Fax: 706-638-5585 |