Northeast Health District - Epsdt in Madison - Public Health, State Or Local
Northeast Health District - Epsdt - NPI 1205031267
Northeast Health District - Epsdt is a Public Health, State Or Local in Madison, Georgia. Northeast Health District - Epsdt practices all healthcare services and medical treatments related to Public Health, State Or Local. The NPI Number for Northeast Health District - Epsdt is 1205031267. The last update date is 2023-11-21.
Northeast Health District - Epsdt's current location address is 2005 S Main St Ste 200, Madison, Georgia. You can contact this provider via phone number 7067521266 and fax number 7067520286. The mailing address for Northeast Health District - Epsdt is 2005 S Main St Ste 200, Madison, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northeast Health District - Epsdt |
|---|---|
| Address | 2005 S Main St Ste 200, Madison, Georgia |
| Phone Number | 7067521266 |
| Fax Number | 7067520286 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | HEALTH DIR |
|---|---|
| Authorized Official Name | Goggans S Donald |
| Credentials | MD |
| Telephone Number | 7065832870 |
NPI Number Detail
| NPI Number | 1205031267 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2023-11-21 |
Provider Mailing Address Detail
| Address | 2005 S Main St Ste 200 |
|---|---|
| City | Madison |
| State | Georgia (GA) |
| Post Code | 306502055 |
| Phone Number | 7067521266 |
| Fax Number | 7067520286 |
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 |
|---|---|---|---|
| 000051983H | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Northeast Health District - Epsdt by the Centers for Medicare & Medicaid Services?
The Northeast Health District - Epsdt has been assigned the NPI (National Provider Identifier) 1205031267 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Northeast Health District - Epsdt's facilities are geographically located?
The facilities of Northeast Health District - Epsdt are physically situated at the following location: 2005 S Main St Ste 200, Madison, GA, 306502055.
What is Northeast Health District - Epsdt'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 is Public Health, State Or Local, and the taxonomy classification code that categorizes this area of expertise is 261Qp0905X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205031267 to Northeast Health District - Epsdt?
The Centers for Medicare & Medicaid Services assigned the 1205031267 to Northeast Health District - Epsdt on 2007-06-19.
As of what date were the Northeast Health District - Epsdt's details last updated?
The information pertaining to the Northeast Health District - Epsdt, including its address, specialty, and other details, was most recently updated on 2023-11-21.