PICKENS COUNTY DEPARTMENT OF PUBLIC HEALTH NPI 1780658757

NPI Information

NPI: 1780658757
Provider Name: PICKENS COUNTY DEPARTMENT OF PUBLIC HEALTH

Doing Business As: PICKENS COUNTY HEALTH DEPARTMENT

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

CLIA Number: 11D2209591

Address:
60 HEALTH WAY
JASPER, GA
ZIP 30143
Phone: (706) 253-2821
Get Directions

PICKENS COUNTY DEPARTMENT OF PUBLIC HEALTH is a public health or welfare in Jasper, GA. PICKENS COUNTY DEPARTMENT OF PUBLIC HEALTH NPI is 1780658757. The provider is registered as an organization entity type.
The provider Is Doing Business As Pickens County Health Department.

The provider's business location address is:

60 HEALTH WAY
JASPER, GA
ZIP 30143-912
Phone: (706) 253-2821
Fax: (706) 253-5863

The provider's authorized official is Harold W Pitts .
The authorized official title is District Health Director and has the following contact phone number (706) 272-2342.

The CLIA number assigned to this NPI record is 11D2209591 - other - jail medical unit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2006 and was last updated on 10/19/2011.

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			GEORGIA	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	0051994F	MEDICAID	GEORGIA
2	00480642A	MEDICAID	GEORGIA
3	00450282E	MEDICAID	GEORGIA
4	00452911B	MEDICAID	GEORGIA
5	00456519F	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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