| Oconee Community Service Board | |
|
822 Golden Hawk Dr Sandersville GA 31082-7034 | |
| (478) 552-5215 | |
| Not Available |
| Full Name | Oconee Community Service Board |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 822 Golden Hawk Dr, Sandersville, Georgia |
| Authorized Official Name and Position | Shawanna Downing (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 4784454817 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconee Community Service Board Po Box 1827 Milledgeville GA 31059-1827 Ph: (478) 445-4817 | Oconee Community Service Board 822 Golden Hawk Dr Sandersville GA 31082-7034 Ph: (478) 552-5215 |
| NPI Number | 1174710008 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174710008 | NPI | - | NPPES |
| 000604469I | Medicaid | GA | |
| 00611223A | Other | GA | RX MEDICAID PROVIDER NUMB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Oconee Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 Washington Ave, Sandersville, GA 31082 Phone: 478-552-8304 | |
Oconee Community Service Board Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 School St, Sandersville, GA 31082 Phone: 478-240-3050 |