Organization Active NPI

Ware County Board of Health

  • Public Health or Welfare Agency
  • Blackshear, GA
National Provider Identifier
1710027669
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
WARE COUNTY BOARD OF HEALTH
Practice address
715 Ware St
Blackshear, GA 31516-1723
Phone
(912) 807-0301
Fax
(912) 807-0299
NPI assigned
Feb 8, 2007
Last updated
May 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Starla P Sutton
Title
Phso
Phone
(912) 338-5263

Specialties & licenses 1

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

Addresses

Primary practice location

715 Ware St
Blackshear, GA 31516-1723

Mailing address

715 Ware St
Blackshear, GA 31516-1723
Phone (912) 807-0301

Other identifiers 1

IdentifierTypeStateIssuer
000457806CMedicaidGA

Other names 1

  • Ware CMS Other name

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1710027669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 WARE ST",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161723",
            "telephone_number": "912-807-0301",
            "fax_number": "912-807-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 WARE ST",
            "city": "BLACKSHEAR",
            "state": "GA",
            "postal_code": "315161723",
            "telephone_number": "912-807-0301",
            "fax_number": "912-807-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARE COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "STARLA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHSO",
        "authorized_official_telephone_number": "912-338-5263"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000457806C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ware CMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Blackshear, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.