Healther Providers Data Logo


Provider Type Icon

GEORGIA DEPARTMENT OF HUMAN RESOURCES NPI 1679614515


NPI Information

NPI: 1679614515
Provider Name: GEORGIA DEPARTMENT OF HUMAN RESOURCES

Doing Business As: FLOYD COUNTY BOH- MOBILE DENTAL VAN

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

Specialization: Public Health, State or Local

Address:
1309 REDMOND RD NW
ROME, GA
ZIP 30165
Phone: (706) 802-5343
Get Directions

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 1679614515. The provider is registered as an organization entity type.
The provider Is Doing Business As Floyd County Boh- Mobile Dental Van.

The provider's business location address is:

1309 REDMOND RD NW
ROME, GA
ZIP 30165-307
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
1261QP0905XClinic/CenterPublic Health, State or Local025271GEORGIAYes

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
1000926879AMEDICAIDGEORGIA
2000926879HMEDICAIDGEORGIA
3000926879EMEDICAIDGEORGIA
4000926879DMEDICAIDGEORGIA
50009288679BMEDICAIDGEORGIA
6000926879MEDICAIDGEORGIA
7000926879BMEDICAIDGEORGIA
8000926879GMEDICAIDGEORGIA
9000926879IMEDICAIDGEORGIA
10000926879FMEDICAIDGEORGIA

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
Remove or sync iconNPI Synchronization or Removal

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.

« Previous NPI
Next NPI »