Provider Demographics
NPI:1073994737
Name:CA RMH PHYSICIAN SERVICES, PC
Entity type:Organization
Organization Name:CA RMH PHYSICIAN SERVICES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RCM
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOCKERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-253-4149
Mailing Address - Street 1:2300 WINDY RIDGE PKWY SE STE 210
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5665
Mailing Address - Country:US
Mailing Address - Phone:800-366-8101
Mailing Address - Fax:561-697-4345
Practice Address - Street 1:23823 MALIBU RD # 50-386
Practice Address - Street 2:
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-4628
Practice Address - Country:US
Practice Address - Phone:800-366-8101
Practice Address - Fax:561-697-4345
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIVERMENDHELATH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-06-17
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty