CLARKE COUNTY BOARD-HEALTH NPI 1316142169

NPI Information

NPI: 1316142169
Provider Name: CLARKE COUNTY BOARD-HEALTH

Other Name: NORTHEAST HEALTH DISTRICT 10

Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
220 RESEARCH DR
ATHENS, GA
ZIP 30605
Phone: (706) 583-2856
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CLARKE COUNTY BOARD-HEALTH is a public health and state or local clinic center in Athens, GA. CLARKE COUNTY BOARD-HEALTH NPI is 1316142169. The provider is registered as an organization entity type.
The provider Other Name Is Northeast Health District 10.

The provider's business location address is:

220 RESEARCH DR
ATHENS, GA
ZIP 30605-738
Phone: (706) 583-2856
Fax: (706) 369-5732

The provider's authorized official is Claude A Burnett .
The authorized official title is District Health Director and has the following contact phone number (706) 583-2870.

The CLIA number assigned to this NPI record is 11D2118822 - other - county jail medical with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 4/6/2017.

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	261QP0905X	Clinic/Center	Public Health, State or Local			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	000457927A	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

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