GLASCOCK COUNTY BOARD OF HEALTH (NPI# 1083665285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083665285 |
| Entity Type | Organization |
| Organization Name | GLASCOCK COUNTY BOARD OF HEALTH |
| Other Organization Name | GLASCOCK COUNTY HEALTH DEARTMENT |
| Practice Address |
658 W Main St Gibson GA 30810-4013 |
| Mailing Address |
1916 N Leg Rd Augusta GA 30909-4402 |
| Practice Telephone | 7065982061 |
| Practice Fax Number | 7065982442 |
| Mailing Telephone | 7066674265 |
| Mailing Fax Number | 7066674301 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2013-11-01 |
| Authorized Official Name | MRS. MARILYN DEBRA UNDERWOOD (ECHD BILLING SUPERVISOR) |
| Authorized Official Telephone | 7066674265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RAILROAD MEDICARE | P00094913 | 01 |
| GA | 000676563D | 05 | |
| GA | 000051851E | 05 | |
| GA | 000456552H | 05 | |
| GA | 000573361A | 05 |
| Other Name | Type Code |
|---|---|
| GLASCOCK COUNTY HEALTH DEARTMENT | Doing Business As Name - Organization |
| Street Address |
658 W MAIN ST |
| City | GIBSON |
| State | GA |
| Zip Code | 30810-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255416756 | Nona Joe Lord | Registered Nurse | 658 West Main St., Gibson, GA 30810 | 2006-10-25 |
| 1700250107 | Cornelia Benoit | Nurse Practitioner | 702 W Main St, Gibson, GA 30810-4014 | 2015-11-23 |
| 1245400969 | Community Health Care Systems, Inc. | Clinic/Center | 702 West Main St, Gibson, GA 30810-4135 | 2008-03-10 |
| 1508145822 | Debbie B Williford | Massage Therapist | 43 East Main Street, Gibson, GA 30810-4200 | 2011-08-04 |
| 1972597847 | Glascock County Health Care LLC | Skilled Nursing Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-07 |
| 1487648010 | Glascock County Health Care LLC | Assisted Living Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-09 |
| 1770646960 | Glascock County Boe | Local Education Agency (LEA) | 1230 Panther Way, Gibson, GA 30810-4238 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205101177 | Dana Durst Pittman | Speech-Language Pathologist | 4667 Bayou Black Dr, Gibson, LA 70356-3312 | 2012-03-12 |
| 1245400969 | Community Health Care Systems, Inc. | Clinic/Center | 702 West Main St, Gibson, GA 30810-4135 | 2008-03-10 |
| 1285763805 | Family Alternatives, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13880 Francis St, Gibson, NC 28343-8360 | 2007-03-02 |
| 1770646960 | Glascock County Boe | Local Education Agency (LEA) | 1230 Panther Way, Gibson, GA 30810-4238 | 2006-12-18 |
| 1255416756 | Nona Joe Lord | Registered Nurse | 658 West Main St., Gibson, GA 30810 | 2006-10-25 |
| 1689687295 | Alexander V Grandt | Nurse Practitioner | 1120 N Melvin, Gibson Area Hospital & Health Services, Gibson, IL 60936 | 2006-08-14 |
| 1972597847 | Glascock County Health Care LLC | Skilled Nursing Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-07 |
| 1700250107 | Cornelia Benoit | Nurse Practitioner | 702 W Main St, Gibson, GA 30810-4014 | 2015-11-23 |
| 1609175595 | Rha Health Services Nc, LLC | Community/Behavioral Health | 13880 Francis St, Gibson, NC 28343-8360 | 2011-03-18 |
| 1487648010 | Glascock County Health Care LLC | Assisted Living Facility | 434 Beall Springs Rd, Gibson, GA 30810-4224 | 2005-09-09 |
| Find all providers in GIBSON | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
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|---|---|---|---|---|
| 1073136990 | Middle Flint Area Community Service Board | Public Health or Welfare | 106 W Furlow St, Americus, GA 31709-4110 | 2020-05-27 |
| 1023645728 | Emanuel County Board of Health | Public Health or Welfare | 50 Ga Highway 56 N, Swainsboro, GA 30401-4441 | 2020-03-24 |
| 1508498544 | Benard & Romulus LLC | Public Health or Welfare | 917 Revere Way, Hampton, GA 30228-5969 | 2020-02-07 |
| 1770142309 | Region 14 Department of Family and Children Services | Public Health or Welfare | 178 Sams St, Decatur, GA 30030-4134 | 2019-06-07 |
| 1700442753 | Region Xi Field Fiscal Office | Public Health or Welfare | 1400 Peterson Ave N Ste D, Douglas, GA 31533-2833 | 2019-05-15 |
| 1841856242 | Dfcs Region Ix | Public Health or Welfare | 904 Claxton Dairy Rd, Dublin, GA 31021-5423 | 2019-05-13 |
| 1740750181 | Cherokee County Health Department | Public Health or Welfare | 7545 Main St Bldg 100, Woodstock, GA 30188-1615 | 2018-11-28 |
| 1396211694 | Everybody Vs Cancer Foundation | Public Health or Welfare | 5040 Snapfinger Woods Dr Ste 201c, Decatur, GA 30035-4020 | 2018-10-15 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1538652425 | Tiffany Baggett | Public Health or Welfare | 1650 Barnes Mill Rd Apt 223, Marietta, GA 30062-7553 | 2018-06-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.