DOUGLAS COUNTY BOARD OF HEALTH NPI 1326017062

NPI Information

NPI: 1326017062
Provider Name: DOUGLAS COUNTY BOARD OF HEALTH

Doing Business As: DOUGLAS COUNTY PUBLIC HEALTH

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

Address:
6770 SELMAN DRIVE
DOUGLASVILLE, GA
ZIP 30134
Phone: (770) 514-2300
Get Directions

DOUGLAS COUNTY BOARD OF HEALTH is a public health or welfare in Douglasville, GA. DOUGLAS COUNTY BOARD OF HEALTH NPI is 1326017062. The provider is registered as an organization entity type.
The provider Is Doing Business As Douglas County Public Health.

The provider's business location address is:

6770 SELMAN DRIVE
DOUGLASVILLE, GA
ZIP 30134
Phone: (770) 514-2300
Fax: (770) 514-2811

The provider's authorized official is James Virgil Moon .
The authorized official title is Director Of Admin and has the following contact phone number (770) 514-2300.

The CLIA number assigned to this NPI record is 11D2269777 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2006 and was last updated on 3/14/2014.

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
1	000058616G	MEDICAID	GEORGIA
2	000058616D	MEDICAID	GEORGIA
3	000456431F	MEDICAID	GEORGIA
4	000051939B	MEDICAID	GEORGIA
5	511G600003	MEDICARE PIN	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: 5/5/2024

NPI Synchronization or Removal

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