Ware County Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

WARE COUNTY BOARD OF HEALTH

Practice address

1720 Old Reynolds St
Waycross, GA 31501-1036

Phone

(912) 285-6301

Fax

(912) 287-6713

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Starla Sutton

Title

Pso

Phone

(912) 338-5263

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Daisy Clinic Other name

Tax ID family

Board of Health Ware County3 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.

• Ware County Board of Health

  • Public Health or Welfare Agency
  • Waycross, GA
  • NPI 1568491785
  NPD tax ID
• Ware County Board of Health

  • Public Health or Welfare Agency
  • Blackshear, GA
  • NPI 1710027669
  NPD tax ID

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1679502959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 OLD REYNOLDS ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315011036",
            "telephone_number": "912-285-6301",
            "fax_number": "912-287-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 OLD REYNOLDS ST",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315011036",
            "telephone_number": "912-285-6301",
            "fax_number": "912-287-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARE COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "STARLA",
        "authorized_official_title_or_position": "PSO",
        "authorized_official_telephone_number": "912-338-5263"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000052027Y",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000453428A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000442967K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000777763A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000457806A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daisy Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David J Walters, M.D.
• Ware County Board of Commissioners (Ware County EMS)
• Ware County Board of Education
• Ware County Board of Health
• Ware County Board of Health
• Ware County Health Care LLC (Waycross Health & Rehabilitation)
• Ware County Physical Therapy, Inc.
• Ware CS Now
• Ware Express Care, LLC
• Ware Urgent Care, LLC

• Public Health or Welfare Agency in Waycross, GA
• Providers in Waycross, GA by specialty
• Public Health or Welfare Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.