NPIMap

Organization Active NPI

Floyd County Board of Health

  • State or Local Public Health Clinic/Center
  • Rome, GA
National Provider Identifier
1740340322
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
FLOYD COUNTY BOARD OF HEALTH
Practice address
16 E 12TH St SW
Sute 200
Rome, GA 30161-4720
Phone
(706) 802-5372
Fax
(706) 802-5375
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. C Wade Wade, MD
Title
Director
Phone
(706) 295-6704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

16 E 12TH St SW
Sute 200
Rome, GA 30161-4720

Mailing address

1305 Redmond Cir NW
BLD-614
Rome, GA 30165-1345
Phone (706) 295-6704

Other names 1

  • Floyd County Teen Health Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Floyd County Board of Health6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

16 E 12th St SW
#200
Rome, GA 30161
Phone (706) 802-5372

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740340322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 REDMOND CIR NW",
            "address_2": "BLD-614",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651345",
            "telephone_number": "706-295-6704",
            "fax_number": "706-802-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 12TH ST SW",
            "address_2": "SUTE 200",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614720",
            "telephone_number": "706-802-5372",
            "fax_number": "706-802-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOYD COUNTY BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-295-6704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Floyd County Teen Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.