NPIMap

Organization Active NPI

East Central Health District

  • Public Health or Welfare Agency
  • Augusta, GA
National Provider Identifier
1366492035
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
EAST CENTRAL HEALTH DISTRICT
Practice address
1916 N Leg Rd
Augusta, GA 30909-4402
Phone
(706) 667-4265
Fax
(706) 667-4792
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Mrs. Marilyn Debra Underwood
Title
Echd Billing Supervisor
Phone
(706) 667-4265

Specialties & licenses 1

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

Addresses

Primary practice location

1916 N Leg Rd
Augusta, GA 30909-4402

Mailing address

1916 N Leg Rd
Augusta, GA 30909-4402
Phone (706) 667-4265

Other identifiers 3

IdentifierTypeStateIssuer
000551823BMedicaidGA
000551823AMedicaidGA
003109129AMedicaidGA

Other names 1

  • RICHMOND COUNTY HEALTH DEPARTMENT Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Central Health District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1366492035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 N LEG RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094402",
            "telephone_number": "706-667-4265",
            "fax_number": "706-667-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 N LEG RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309094402",
            "telephone_number": "706-667-4265",
            "fax_number": "706-667-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CENTRAL HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "DEBRA",
        "authorized_official_title_or_position": "ECHD BILLING SUPERVISOR",
        "authorized_official_telephone_number": "706-667-4265",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000551823B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000551823A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003109129A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RICHMOND COUNTY HEALTH DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.