Marion County Health Department

Organization Active NPI Public Health or Welfare Agency · Buena Vista, GA

NPI 1689634685 · NPPES record last updated Sep 29, 2025

Key facts

NPI
1689634685
Entity type
Organization (NPI type 2)
Primary specialty
Public Health or Welfare Agency 251K00000X
Legal business name
MARION COUNTY HEALTH DEPARTMENT
Practice address
111 N Baker St Ste a
Buena Vista, GA 31803-1813
Phone
(833) 337-1749
NPI assigned
Mar 24, 2006
Organization subpart
No

Authorized official

Name
Beverley Townsend, MD
Title
District Health Director
Phone
(706) 321-6108

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220203002044 GA Part B Supplier - Mass Immunization (Roster Biller Only) 7911170881 Practice locations: Buena Vista, GA

National Provider Directory

Locations

111 N Baker St
Ste A
Buena Vista, GA 31803
Phone (229) 649-5664

Specialties & licenses

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

Addresses

Primary practice location

111 N Baker St Ste a
Buena Vista, GA 31803-1813

Mailing address

111 N Baker St Ste a
Buena Vista, GA 31803-1813
Phone (833) 337-1749

Other identifiers

IdentifierTypeStateIssuer
00052082HMedicaidGA
00058726IMedicaidGA
00453164FMedicaidGA
00798091BMedicaidGA
00457729OMedicaidGA

Other providers in Buena Vista, GA

All providers in Buena Vista, GA · Public Health or Welfare Agency in Georgia

Sources for this page

Verify at the official NPI Registry.