POLK COUNTY BOARD OF HEALTH NPI 1093944423

NPI Information

NPI: 1093944423
Provider Name: POLK COUNTY BOARD OF HEALTH

Doing Business As: POLK PRIMARY CARE CLINIC

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

Address:
508 N MAIN ST
CEDARTOWN, GA
ZIP 30125
Phone: (706) 749-2270
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POLK COUNTY BOARD OF HEALTH is a public health or welfare in Cedartown, GA. POLK COUNTY BOARD OF HEALTH NPI is 1093944423. The provider is registered as an organization entity type.
The provider Is Doing Business As Polk Primary Care Clinic.

The provider's business location address is:

508 N MAIN ST
CEDARTOWN, GA
ZIP 30125-302
Phone: (706) 749-2270
Fax: (706) 749-2298

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 CLIA number assigned to this NPI record is 11D0929241 - other - county jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2009 and was last updated on 7/7/2009.

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		025271	GEORGIA	Yes

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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