NPIMap

Organization Active NPI

Bleckley County Board of Health

Doing business as Bleckley County Health Department

  • Public Health or Welfare Agency
  • Cochran, GA
National Provider Identifier
1699842856
Registry record updated May 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
BLECKLEY COUNTY BOARD OF HEALTH
Doing business as
Bleckley County Health Department
Practice address
152 North Eighth Street
Cochran, GA 31014
Phone
(478) 934-6590
Fax
(478) 934-8729
NPI assigned
Nov 30, 2006
Last updated
May 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2018

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 Primary

Addresses

Primary practice location

152 North Eighth Street
Cochran, GA 31014

Mailing address

152 North Eighth Street
Cochran, GA 31014
Phone (478) 934-6590

Other names 1

  • Bleckley 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
O20120125000217 GA Part B Supplier - Public Health/Welfare Agency 8224205638 Practice locations: Cochran, GA

National Provider Directory

National Provider Directory

Locations

152 N 8th St
Cochran, GA 31014
Phone (478) 934-6590

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1699842856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 NORTH EIGHTH STREET",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "31014",
            "telephone_number": "478-934-6590",
            "fax_number": "478-934-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 NORTH EIGHTH STREET",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "31014",
            "telephone_number": "478-934-6590",
            "fax_number": "478-934-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLECKLEY COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2018-05-11",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bleckley County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bleckley County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cochran, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.