NPIMap

Organization Active NPI

Laurens County Board of Health

Doing business as Laurens County Health Department

  • Public Health or Welfare Agency
  • Dublin, GA
National Provider Identifier
1689740045
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LAURENS COUNTY BOARD OF HEALTH
Doing business as
Laurens County Health Department
Practice address
2121 Bellevue Rd
Dublin, GA 31021-2952
Phone
(478) 272-2051
Fax
(478) 275-6517
NPI assigned
Nov 28, 2006
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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

2121 Bellevue Rd
Dublin, GA 31021-2952

Mailing address

2121 Bellevue Rd
Dublin, GA 31021-2952
Phone (478) 272-2051

Other names 1

  • Laurens 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
O20120117000810 GA Part B Supplier - Public Health/Welfare Agency 9739356635 Practice locations: Dublin, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Laurens County Health D5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2121 Bellevue Rd
Dublin, GA 31021
Phone (478) 272-2051

Practitioners & affiliated clinicians

Practitioners 5

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1689740045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 BELLEVUE RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212952",
            "telephone_number": "478-272-2051",
            "fax_number": "478-275-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 BELLEVUE RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212952",
            "telephone_number": "478-272-2051",
            "fax_number": "478-275-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURENS COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-10-12",
        "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": "Laurens County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.