Active NPI
Ware County Board of Health
- Public Health or Welfare Agency
- Blackshear, GA
National Provider Identifier
1710027669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000457806C | Medicaid | GA |
Other names 1
- Ware CMS
National Provider Directory
National Provider Directory- Tax ID family
- Board of Health Ware County
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Waycross, GA
- NPI 1568491785
-
- Public Health or Welfare Agency
- Waycross, GA
- NPI 1679502959
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.