Provider Demographics
NPI:1053475913
Name:ALBANY AREA CSB
Entity Type:Organization
Organization Name:ALBANY AREA CSB
Other - Org Name:MILLER COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARANKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-430-4005
Mailing Address - Street 1:205 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLQUITT
Mailing Address - State:GA
Mailing Address - Zip Code:39837-3407
Mailing Address - Country:US
Mailing Address - Phone:229-758-5012
Mailing Address - Fax:
Practice Address - Street 1:1120 W BROAD AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-4397
Practice Address - Country:US
Practice Address - Phone:229-430-0416
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare