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CLARKE COUNTY DEPARTMENT OF HEALTH NPI 1831256783


NPI Information

NPI: 1831256783
Provider Name: CLARKE COUNTY DEPARTMENT OF HEALTH

Doing Business As: SPECIALTY CARE CLLINIC

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

Specialization: Public Health, State or Local

Address:
700 SUNSET DR STE 501
ATHENS, GA
ZIP 30606
Phone: (706) 425-2935
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CLARKE COUNTY DEPARTMENT OF HEALTH is a public health and state or local clinic center in Athens, GA. CLARKE COUNTY DEPARTMENT OF HEALTH NPI is 1831256783. The provider is registered as an organization entity type.
The provider Is Doing Business As Specialty Care Cllinic.

The provider's business location address is:

700 SUNSET DR STE 501
ATHENS, GA
ZIP 30606-288
Phone: (706) 425-2935
Fax: (706) 425-2936

The provider's authorized official is Donald S Goggans .
The authorized official title is Health Director and has the following contact phone number (706) 583-2870.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 11/21/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP0905XClinic/CenterPublic Health, State or LocalYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000456574MMEDICAIDGEORGIA
2000456574NMEDICAIDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.