MADISON COUNTY HEALTH DEPARTMENT NPI 1174660187

NPI Information

NPI: 1174660187
Provider Name: MADISON COUNTY HEALTH DEPARTMENT

Other Name: MADISON COUNTY BOARD OF HEALTH

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

Specialization: Public Health, State or Local

Address:
1424 HIGHWAY 98 W
DANIELSVILLE, GA
ZIP 30633
Phone: (706) 795-2131
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MADISON COUNTY HEALTH DEPARTMENT is a public health and state or local clinic center in Danielsville, GA. MADISON COUNTY HEALTH DEPARTMENT NPI is 1174660187. The provider is registered as an organization entity type.
The provider Other Name Is Madison County Board Of Health.

The provider's business location address is:

1424 HIGHWAY 98 W
DANIELSVILLE, GA
ZIP 30633-356
Phone: (706) 795-2131
Fax: (706) 795-5773

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 1/31/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0905X	Clinic/Center	Public Health, State or Local			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	Other Provider Identifier Issuer
1	000456574E	MEDICAID	GEORGIA
2	339650	OTHER	GEORGIA	WELLCARE
3	FLU161	OTHER	GEORGIA	MEDICARE PART B (CAHABA G
4	10073823	OTHER	GEORGIA	AMERIGROUP CORP
5	3566213	OTHER	GEORGIA	CIGNA
6	583223	OTHER	GEORGIA	UNITED HEALTHCARE
7	52320706	OTHER	GEORGIA	BCBS GA
8	000456574E	OTHER	GEORGIA	PEACH STATE HEALTH PLAN

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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