| Laurelwood | |
|
743 Spring St Ne Gainesville GA 30501-3715 | |
| (770) 219-9000 | |
| (770) 219-6694 |
| Full Name | Laurelwood |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 743 Spring St Ne, Gainesville, Georgia |
| Authorized Official Name and Position | Brian D Steines (CFO) |
| Authorized Official Contact | 7702193562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurelwood Po Box 741891 Atlanta GA 30374-1891 Ph: (770) 219-9000 | Laurelwood 743 Spring St Ne Gainesville GA 30501-3715 Ph: (770) 219-9000 |
| NPI Number | 1437185261 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Medicare PECOS PAC ID | 7517953755 |
|---|---|
| Medicare Enrollment ID | O20071113000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437185261 | NPI | - | NPPES |
| 000000888A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Georgia) | Primary |
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