LONG COUNTY BOARD OF HEALTH NPI 1174506737

NPI Information

NPI: 1174506737
Provider Name: LONG COUNTY BOARD OF HEALTH

Doing Business As: LONG COUNTY HEALTH DEPARTMENT

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
584 N MACON ST
LUDOWICI, GA
ZIP 31316
Phone: (912) 545-2107
Get Directions

LONG COUNTY BOARD OF HEALTH is a public health or welfare in Ludowici, GA. LONG COUNTY BOARD OF HEALTH NPI is 1174506737. The provider is registered as an organization entity type.
The provider Is Doing Business As Long County Health Department.

The provider's business location address is:

584 N MACON ST
LUDOWICI, GA
ZIP 31316-958
Phone: (912) 545-2107
Fax: (912) 545-2112

The provider's authorized official is Stacy A Cooper .
The authorized official title is District Billing Dept Coordinator and has the following contact phone number (912) 262-2347.

The enumeration date for this NPI number is 11/28/2005 and was last updated on 1/7/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251K00000X	Public Health or Welfare				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000051818H	MEDICAID	GEORGIA
2	F30716	MEDICARE UPIN	GEORGIA
3	000551878A	MEDICAID	GEORGIA
4	FLU147	OTHER	GEORGIA	MEDICARE ID
5	000051818F	MEDICAID	GEORGIA
6	000457938E	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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