GEORGIA DEPARTMENT OF HUMAN RESOURCES NPI 1033250972

NPI Information

NPI: 1033250972
Provider Name: GEORGIA DEPARTMENT OF HUMAN RESOURCES

Doing Business As: FLOYD COUNTY REGIONAL DENTAL CLINIC

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

Specialization: Public Health, State or Local

Address:
16 E 12TH ST SW
ROME, GA
ZIP 30161
Phone: (706) 802-5343
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GEORGIA DEPARTMENT OF HUMAN RESOURCES is a public health and state or local clinic center in Rome, GA. GEORGIA DEPARTMENT OF HUMAN RESOURCES NPI is 1033250972. The provider is registered as an organization entity type.
The provider Is Doing Business As Floyd County Regional Dental Clinic.

The provider's business location address is:

16 E 12TH ST SW
ROME, GA
ZIP 30161-720
Phone: (706) 802-5343
Fax: (706) 802-5681

The provider's authorized official is Christopher Wade Sellers .
The authorized official title is Medical Director and has the following contact phone number (706) 295-6704.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 7/11/2008.

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	261QP0905X	Clinic/Center	Public Health, State or Local	025271	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	000926879	MEDICAID	GEORGIA
2	000926879G	MEDICAID	GEORGIA
3	000926879B	MEDICAID	GEORGIA
4	0009288679B	MEDICAID	GEORGIA
5	000926879A	MEDICAID	GEORGIA
6	000926879H	MEDICAID	GEORGIA
7	000926879I	MEDICAID	GEORGIA
8	000926879E	MEDICAID	GEORGIA
9	000926879D	MEDICAID	GEORGIA
10	000926879F	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

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