NPIMap

Organization Active NPI

Glynn County Board of Health

  • Public Health or Welfare Agency
  • Savannah, GA
National Provider Identifier
1679136642
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
GLYNN COUNTY BOARD OF HEALTH
Practice address
420 Mall Blvd
Savannah, GA 31406-4888
Phone
(912) 644-5200
Fax
(912) 349-2329
NPI assigned
Apr 16, 2019
Organization subpart
Yes
Parent organization
GLYNN COUNTY BOARD OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Authorized official

Name
Stacy Cooper
Title
District Billing Manager
Phone
(912) 644-5201

Specialties & licenses 1

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

Addresses

Primary practice location

420 Mall Blvd
Savannah, GA 31406-4888

Mailing address

150 Scranton Connector
Brunswick, GA 31525-0540
Phone (912) 644-5201

Other identifiers 1

IdentifierTypeStateIssuer
000456508FMedicaidGA

Other names 1

  • Children Medical Services (CMS) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glynn County Health Dep5 organizations share this tax ID, including this one
Part of
Glynn County Health Dep

Other organizations with this tax ID 4

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

Locations

420 Mall Blvd
Savannah, GA 31406
Phone (912) 644-5202

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1679136642",
    "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": "912-644-5201",
            "fax_number": "912-349-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MALL BLVD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064888",
            "telephone_number": "912-644-5200",
            "fax_number": "912-349-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLYNN COUNTY BOARD OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLYNN COUNTY BOARD OF HEALTH",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "DISTRICT BILLING MANAGER",
        "authorized_official_telephone_number": "912-644-5201"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000456508F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children Medical Services (CMS)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.