Tattnall County Board of Health
Organization Active NPI Public Health or Welfare Agency · Glennville, GA
NPI 1770528804 · NPPES record last updated Aug 19, 2011
Key facts
- NPI
- 1770528804
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- TATTNALL COUNTY BOARD OF HEALTH
- Practice address
- 1000 N Veterans Blvd
Glennville, GA 30427-8603 - Phone
- (912) 654-5290
- Fax
- (912) 654-5293
- NPI assigned
- Jun 20, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- TATTNALL COUNTY BOARD OF HEALTH
Authorized official
- Name
- Starla Sutton
- Title
- Pso
- Phone
- (912) 427-2042
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151105001123 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6800837493 |
1 other NPI on this enrollment Practice locations: Glennville, GA; Reidsville, GA |
National Provider Directory
- Part of
- Tattnal County Health D
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
1000 N Veterans Blvd
Glennville, GA 30427-8603
Mailing address
PO Box 353
Glennville, GA 30427-0353
Phone (912) 654-5290
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000457784O | Medicaid | GA | |
| 000052027X | Medicaid | GA | |
| 000770648B | Medicaid | GA | |
| 000453098P | Medicaid | GA | |
| 000442967Q | Medicaid | GA |
Other names
- Tattnall County Health Department-Glennville
Other providers in Glennville, GA
- Stepping Stones Family Wellness Center, LLC
- Strickland'S Pharmacy, Inc.
- Shawna Sturges Strub
- Sutton Place
- Pamela Swain
- Tattnall Healthcare LLC
- Tattnall Healthcare LLC.
- Tattnall Hospital Company, LLC
- Leeanne Dubois Taylor
- Thompson Medical Associates, LLC
All providers in Glennville, GA · Public Health or Welfare Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.