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DEKALB COUNTY BOARD OF HEALTH NPI 1053417105


NPI Information

NPI: 1053417105
Provider Name: DEKALB COUNTY BOARD OF HEALTH

Other Name: NORTH HEALTH CENTER

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

CLIA Number: 11D0693066

Address:
3807 CLAIRMONT RD
CHAMBLEE, GA
ZIP 30341
Phone: (770) 454-1144
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DEKALB COUNTY BOARD OF HEALTH is a public health or welfare in Chamblee, GA. DEKALB COUNTY BOARD OF HEALTH NPI is 1053417105. The provider is registered as an organization entity type.
The provider Other Name Is North Health Center.

The provider's business location address is:

3807 CLAIRMONT RD
CHAMBLEE, GA
ZIP 30341-911
Phone: (770) 454-1144
Fax: (770) 452-4468

The provider's authorized official is Sandra E Ford .
The authorized official title is District Director/ceo and has the following contact phone number (404) 294-3787.

The CLIA number assigned to this NPI record is 11D0693066 - public health laboratories with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 10/23/2007.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)GEORGIANo
2251X00000XSupports BrokerageGEORGIANo
3251K00000XPublic Health or WelfareGEORGIANo
4261QF0050XClinic/CenterFamily Planning, Non-SurgicalGEORGIANo
5163WC0400XRegistered NurseCase ManagementNo
6251K00000XPublic Health or WelfareYes

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

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.