NPIMap

Organization Active NPI

Effingham County Board of Health

Doing business as Effingham County Health Department

  • Public Health or Welfare Agency
  • Springfield, GA
National Provider Identifier
1093039554
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
EFFINGHAM COUNTY BOARD OF HEALTH
Doing business as
Effingham County Health Department
Practice address
802 Highway 119 South
Springfield, GA 31329-0350
Phone
(912) 754-6784
Fax
(912) 754-7623
NPI assigned
Mar 26, 2010
Last updated
Jan 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stacy A Cooper
Title
District Billing Dept Coordinator
Phone
(912) 262-2347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

802 Highway 119 South
Springfield, GA 31329-0350

Mailing address

150 Scranton Connector
Brunswick, GA 31525-0540
Phone (912) 262-2347

Other names 1

  • Effingham County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000441 GA Part B Supplier - Public Health/Welfare Agency 9032135199 1 other NPI on this enrollment
Practice locations: Springfield, GA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

802 Highway 119 S
Springfield, GA 31329
Phone (912) 262-2347

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1093039554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SCRANTON CONNECTOR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250540",
            "telephone_number": "912-262-2347",
            "fax_number": "912-262-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 HIGHWAY 119 SOUTH",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313290350",
            "telephone_number": "912-754-6784",
            "fax_number": "912-754-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFINGHAM COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DISTRICT BILLING DEPT COORDINATOR",
        "authorized_official_telephone_number": "912-262-2347"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Effingham County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.