Provider Demographics
NPI:1154676799
Name:ARC HEALTH SYSTEMS, INC
Entity Type:Organization
Organization Name:ARC HEALTH SYSTEMS, INC
Other - Org Name:ANNIS FAMILY CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ANNIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:706-216-4875
Mailing Address - Street 1:66 S 400 CENTER LN
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-6183
Mailing Address - Country:US
Mailing Address - Phone:706-216-4875
Mailing Address - Fax:706-216-2732
Practice Address - Street 1:66 S 400 CENTER LN
Practice Address - Street 2:SUITE 105
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-6183
Practice Address - Country:US
Practice Address - Phone:706-216-4875
Practice Address - Fax:706-216-2732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2997305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCBTWOtherMEDICARE ID