EMANUEL COUNTY BOARD OF HEALTH NPI 1689981326

NPI Information

NPI: 1689981326
Provider Name: EMANUEL COUNTY BOARD OF HEALTH

Doing Business As: EMANUEL COUNTY HEALTH DEPT ADRIAN CLINIC

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

CLIA Number: 11D2197261

Address:
101 NORA BLVD
ADRIAN, GA
ZIP 31002
Phone: (478) 668-3436
Get Directions

EMANUEL COUNTY BOARD OF HEALTH is a public health or welfare in Adrian, GA. EMANUEL COUNTY BOARD OF HEALTH NPI is 1689981326. The provider is registered as an organization entity type.
The provider Is Doing Business As Emanuel County Health Dept Adrian Clinic.

The provider's business location address is:

101 NORA BLVD
ADRIAN, GA
ZIP 31002
Phone: (478) 668-3436

The provider's authorized official is Marilyn Debra Underwood .
The authorized official title is Billing Supervisor and has the following contact phone number (706) 667-4265.

The CLIA number assigned to this NPI record is 11D2197261 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2010 and was last updated on 8/9/2011.

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	000456552AC	MEDICAID	GEORGIA
2	003104487A	MEDICAID	GEORGIA
3	511G600001	MEDICARE UPIN	GEORGIA
4	600001695	OTHER	GEORGIA	RAILROAD MEDICARE
5	000456552U	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: 5/5/2024

NPI Synchronization or Removal

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