PINELAND MH/MR/SA CSB
NPI 1760658587
Clinic/Center in Vidalia, GA

Q: What is Pineland Mh/Mr/Sa Csb's NPI number?

The NPI number for Pineland Mh/Mr/Sa Csb is 1760658587. It was assigned to this organization in the NPPES registry on May 1, 2008.

Q: What is Pineland Mh/Mr/Sa Csb's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since May 01, 2008

901 NORTH ST W, VIDALIA, GA 30474(912) 537-9316(912) 537-9915 Get Directions Write a Review

NPPES record last updated: May 1, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pineland Mh/mr/sa Csb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINELAND MH/MR/SA CSB (NPI 1760658587) is a healthcare organization registered as a clinic/center in Vidalia, Georgia and active in the NPI registry since May 2008. The organization lists June A Dipolito, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1760658587

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePINELAND MH/MR/SA CSB

Location Address901 NORTH ST WVidalia, GA 30474-3503

Mailing Address5 W Altman StStatesboro, GA 30458-5212 · (912) 764-6906 · Fax (912) 764-3252

Phone(912) 537-9316

Fax(912) 537-9915

Organization SubpartNo

Authorized OfficialJune A DipolitoExecutive Director · (912) 764-6906

Enumeration DateMay 1, 2008

✔ NPI 1760658587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in GA · LPN068072

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

901 NORTH ST W, Vidalia, GA 30474

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pineland Mh/Mr/Sa Csb's NPI number?

The NPI number for Pineland Mh/Mr/Sa Csb is 1760658587. It was assigned to this organization in the NPPES registry on May 1, 2008.

Where is Pineland Mh/Mr/Sa Csb located?

Pineland Mh/Mr/Sa Csb is located at 901 North St W, Vidalia, GA 30474. The listed phone number is (912) 537-9316.

What is Pineland Mh/Mr/Sa Csb's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Pineland Mh/Mr/Sa Csb was last updated on May 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.