NPIMap

Organization Active NPI

Wheeler County Health Department

  • Public Health or Welfare Agency
  • Alamo, GA
National Provider Identifier
1376611947
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WHEELER COUNTY HEALTH DEPARTMENT
Doing business as
Wheeler County Health Department
Practice address
414 Kent Street
Alamo, GA 30411
Phone
(912) 568-7161
Fax
(912) 568-7770
NPI assigned
Dec 1, 2006
Last updated
Nov 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Candace Spicer Christian
Title
Administrator
Phone
(478) 275-6545

Specialties & licenses 1

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

Addresses

Primary practice location

414 Kent Street
Alamo, GA 30411

Mailing address

PO Box 669
Alamo, GA 30411-0669
Phone (912) 568-7161

Other names 1

  • Wheeler 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
O20120113000104 GA Part B Supplier - Mass Immunization (Roster Biller Only) 6406023589 Practice locations: Alamo, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1376611947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "ALAMO",
            "state": "GA",
            "postal_code": "304110669",
            "telephone_number": "912-568-7161",
            "fax_number": "912-568-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 KENT STREET",
            "city": "ALAMO",
            "state": "GA",
            "postal_code": "30411",
            "telephone_number": "912-568-7161",
            "fax_number": "912-568-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEELER COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "SPICER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-275-6545"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheeler County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamo, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.