Clarke Co Bd Of Health Ei

LBN: Clarke Co Bd Of Health
Clarke Co Bd Of Health Ei is an health care organization with primary practice located at 202 Ben Burton Cir , Bogart GA 30622-6813. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Clarke Co Bd Of Health can be contacted via phone (706) 369-6101, or through Goggans, Donald S via phone (706) 583-2870.

Contact Information

Primary practice address
202 Ben Burton Cir Bogart GA 30622-6813
Phone: (706) 369-6101
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goggans, Donald S Doctor of Medicine (MD)
Phone: (706) 583-2870

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Georgia

Profile Details

NPI number 1699836585
LBN Legal business name Clarke Co Bd Of Health
DBA Doing business as Clarke Co Bd Of Health Ei
Authorized official Goggans, Donald S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Nov 21st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699836585 NPPES
Georgia MEDICAID 000548215A

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