WARE COUNTY BOARD OF HEALTH NPI 1679502959

NPI Information

NPI: 1679502959
Provider Name: WARE COUNTY BOARD OF HEALTH

Other Name: DAISY CLINIC

Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
1720 OLD REYNOLDS ST
WAYCROSS, GA
ZIP 31501
Phone: (912) 285-6301
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WARE COUNTY BOARD OF HEALTH is a public health or welfare in Waycross, GA. WARE COUNTY BOARD OF HEALTH NPI is 1679502959. The provider is registered as an organization entity type.
The provider Other Name Is Daisy Clinic.

The provider's business location address is:

1720 OLD REYNOLDS ST
WAYCROSS, GA
ZIP 31501-036
Phone: (912) 285-6301
Fax: (912) 287-6713

The provider's authorized official is Starla Sutton .
The authorized official title is Pso and has the following contact phone number (912) 338-5263.

The enumeration date for this NPI number is 6/30/2006 and was last updated on 6/26/2008.

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	000453428A	MEDICAID	GEORGIA
2	000777763A	MEDICAID	GEORGIA
3	000442967K	MEDICAID	GEORGIA
4	GRP1819	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	COUNTY MDCR BILLING #
5	FLU135	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	COUNTY FLU BILLING #
6	000052027Y	MEDICAID	GEORGIA
7	000457806A	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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