Northeast Health District - Epsdt County in Jefferson - Public Health, State Or Local
Northeast Health District - Epsdt County - NPI 1871799205
Northeast Health District - Epsdt County is a Public Health, State Or Local in Jefferson, Georgia. Northeast Health District - Epsdt County practices all healthcare services and medical treatments related to Public Health, State Or Local. The NPI Number for Northeast Health District - Epsdt County is 1871799205. The last update date is 2023-11-21.
Northeast Health District - Epsdt County's current location address is 341 Stan Evans Dr, Jefferson, Georgia. You can contact this provider via phone number 7063675204 and fax number 7063679023. The mailing address for Northeast Health District - Epsdt County is 341 Stan Evans Dr, Jefferson, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Northeast Health District - Epsdt County |
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Address | 341 Stan Evans Dr, Jefferson, Georgia |
Phone Number | 7063675204 |
Fax Number | 7063679023 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | HEALTH DIR |
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Authorized Official Name | Goggans S Donald |
Credentials | MD |
Telephone Number | 7065832870 |
NPI Number Detail
NPI Number | 1871799205 |
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Provider Enumeration Date | 2007-06-22 |
Last Updated Date | 2023-11-21 |
Provider Mailing Address Detail
Address | 341 Stan Evans Dr |
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City | Jefferson |
State | Georgia (GA) |
Post Code | 305492909 |
Phone Number | 7063675204 |
Fax Number | 7063679023 |
Provider's Primary Taxonomy Detail
Speciality | Public Health, State Or Local |
---|---|
Taxonomy | 261Qp0905X |
Definition: A state or local government public health agency providing health services to a designated population. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
000051983F | GA | -- |
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What is the Northeast Health District - Epsdt County's 1871799205?
The Northeast Health District - Epsdt County's NPI (National Provider Identifier) Number is 1871799205. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Northeast Health District - Epsdt County's physical address?
The Northeast Health District - Epsdt County is physically located at 341 Stan Evans Dr, in the city of Jefferson, GA, with the postal code 305492909.
What is Northeast Health District - Epsdt County's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Northeast Health District - Epsdt County is Public Health, State Or Local, and the taxonomy classification code that categorizes this area of expertise is 261Qp0905X.
When was the Northeast Health District - Epsdt County's 1871799205 issued?
The Northeast Health District - Epsdt County's 1871799205 was issued on 2007-06-22.
As of what date were the Northeast Health District - Epsdt County's details last updated?
The information pertaining to the Northeast Health District - Epsdt County, including its address, specialty, and other details, was most recently updated on 2023-11-21.