GLYNN COUNTY BOARD OF HEALTH (NPI# 1164429692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164429692 |
Entity Type | Organization |
Organization Name | GLYNN COUNTY BOARD OF HEALTH |
Other Organization Name | COASTAL HEALTH DISTRICT-BRUNSWICK |
Practice Address |
2747 4th St Brunswick GA 31520-3714 |
Mailing Address |
150 Scranton Connector Brunswick GA 31525-0540 |
Practice Telephone | 9122643236 |
Practice Fax Number | 9122623051 |
Mailing Telephone | 9122622347 |
Mailing Fax Number | 9122623036 |
Enumeration Date | 2005-06-30 |
Last Update Date | 2015-01-06 |
Authorized Official Name | STACY A. COOPER (DISTRICT BILLING DEPT. COORDINATOR) |
Authorized Official Telephone | 9122622347 |
Is Organization Subpart | Y |
Parent Organization Name | GLYNN COUNTY BOARD OF HEALTH |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251K00000X | Public Health or Welfare | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000456508P | 05 | |
GA | MEDICARE NUMBER | FLU143 | 01 |
Other Name | Type Code |
---|---|
Coastal Health District-Brunswick | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679136642 | Glynn County Board of Health | Public Health or Welfare | 420 Mall Blvd, Savannah, GA 31406-4888 | 2019-04-16 |
1730187188 | Glynn County Board of Health | Public Health or Welfare | 2747 4th St, Brunswick, GA 31520-3714 | 2005-07-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GLYNN COUNTY BOARD OF HEALTH | 150 Scranton Connector, Brunswick, GA 31525-0540 |
Street Address |
2747 4TH ST |
City | BRUNSWICK |
State | GA |
Zip Code | 31520-3714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992093 | Brittani M Garner | Licensed Practical Nurse | 2747 4th St, Brunswick, GA 31520-3714 | 2020-11-04 |
1295226413 | Mandy Lee Anderson | Registered Nurse | 2747 4th St, Brunswick, GA 31520-3714 | 2018-05-23 |
1063926566 | Courtney Dowling | Registered Nurse | 2747 4th St, Brunswick, GA 31520-3714 | 2017-11-21 |
1639683246 | Donna Sue Smith | Registered Nurse | 2747 4th St, Brunswick, GA 31520-3714 | 2017-11-20 |
1144761529 | Adam J. Sanchez | Registered Nurse | 2747 4th St, Brunswick, GA 31520-3714 | 2017-03-17 |
1376998773 | Melanie Williamson | Licensed Practical Nurse | 2747 4th St, Brunswick, GA 31520-3714 | 2016-05-04 |
1376906248 | Jeffrey J. Walsh | Registered Nurse | 2747 4th St, Brunswick, GA 31520-3714 | 2016-03-30 |
1700249786 | Iris Kufahl | Registered Nurse | 2747 4th St, Brunswick, GA 31520-3714 | 2016-03-29 |
1487039749 | Melissa Rooks | Licensed Practical Nurse | 2747 4th St, Brunswick, GA 31520-3714 | 2015-07-28 |
1174921100 | Kristin Carver | Registered Nurse | 2747 4th St, Brunswick, GA 31520 | 2014-12-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
Find all providers in zip 31520 |
Taxonomy Code | 251K00000X |
Grouping | Agencies |
Classification | Public Health or Welfare |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255339529 | Glynn County Heatlh Department | Public Health or Welfare | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2005-07-12 |
1427423805 | Coastal Health District 9-1 | Public Health or Welfare | 150 Scranton Connector, Brunswick, GA 31525-0540 | 2015-12-10 |
1730187188 | Glynn County Board of Health | Public Health or Welfare | 2747 4th St, Brunswick, GA 31520-3714 | 2005-07-11 |
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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 |
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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.