Effingham County Board of Health
Organization Active NPI Public Health or Welfare Agency · Springfield, GA
NPI 1093039554 · NPPES record last updated Jan 8, 2015
Key facts
- NPI
- 1093039554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- EFFINGHAM COUNTY BOARD OF HEALTH
- Practice address
- 802 Highway 119 South
Springfield, GA 31329-0350 - Phone
- (912) 754-6784
- Fax
- (912) 754-7623
- NPI assigned
- Mar 26, 2010
- Organization subpart
- No
Authorized official
- Name
- Stacy A Cooper
- Title
- District Billing Dept Coordinator
- Phone
- (912) 262-2347
Other NPIs on the same Medicare enrollment 1
Practitioners 13
-
Gillian Greer, MD
-
Debbie P Hagins, MD
-
Laura Hayley Veal, FNP
-
Stephanie Mascarello Deloach, RN,BSN
-
Janice E Ford, NP
-
Janet Gray, RN
-
Holli B Johnson, RN
-
Brittany Mitchell, RN-BSN
-
Bethany Thornton, RN
-
Mary Elizabeth Weaver, RN,BSN
-
Shanell Wright, LPN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071002000441 | GA | Part B Supplier - Public Health/Welfare Agency | 9032135199 |
1 other NPI on this enrollment Practice locations: Springfield, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000051862B | Medicaid | GA | |
| FLU233 | Other | GA | MEDICARE ID |
| 000456497D | Medicaid | GA | |
| 000456497N | Medicaid | GA | |
| 000654376C | Medicaid | GA |
Other names
- Effingham County Health Department
Other providers in Springfield, GA
- Stephanie Mascarello Deloach
- Emilee Dodd
- Dva Renal Healthcare Inc
- Yolanda Edmond
- Effingham County Board of Education
- Effingham County Board of Health
- Effingham County Commissioners
- Effingham Dental Associates,P.C.
- Effingham Emergency Group LLC
- Effingham Hospital, Inc.
All providers in Springfield, GA · Public Health or Welfare Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.