WAYNE COUNTY BOARD OF HEALTH NPI 1801825021

NPI Information

NPI: 1801825021
Provider Name: WAYNE COUNTY BOARD OF HEALTH
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization

CLIA Number: 11D2149725

Address:
240 PEACHTREE ST
JESUP, GA
ZIP 31545
Phone: (912) 427-2042
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WAYNE COUNTY BOARD OF HEALTH is a public health or welfare in Jesup, GA. WAYNE COUNTY BOARD OF HEALTH NPI is 1801825021. The provider is registered as an organization entity type.

The provider's business location address is:

240 PEACHTREE ST
JESUP, GA
ZIP 31545-212
Phone: (912) 427-2042
Fax: (912) 427-5880

The provider's authorized official is Starla Sutton .
The authorized official title is Pso and has the following contact phone number (912) 427-2042.

The CLIA number assigned to this NPI record is 11D2149725 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 8/9/2011.

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				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	600000724	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	RAILROAD BILLING #
2	000453428B	MEDICAID	GEORGIA
3	GRP3485	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	COUNTY MDCR BILLING #
4	000052027Q	MEDICAID	GEORGIA
5	000442967Y	MEDICAID	GEORGIA
6	FLU137	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	COUNTY FLU BILLING #
7	000777565A	MEDICAID	GEORGIA
8	000457806B	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

NPI Synchronization or Removal

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