Morgan Co Hlth Dept Dist 10

LBN: Northeast Health District - Epsdt
Morgan Co Hlth Dept Dist 10 is an health care organization with primary practice located at 2005 S Main St Ste 200 , Madison GA 30650-2055. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, State or Local, which is considered as the primary health care specialty. Northeast Health District - Epsdt can be contacted via phone (706) 752-1266, or through Goggans, Donald S via phone (706) 583-2870.

Contact Information

Primary practice address
2005 S Main St Ste 200 Madison GA 30650-2055
Phone: (706) 752-1266
Fax: (706) 752-0286
Website:
Map and Directions
Authorized official contact:
Name: Goggans, Donald S Doctor of Medicine (MD)
Phone: (706) 583-2870

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X

Profile Details

NPI number 1205031267
LBN Legal business name Northeast Health District - Epsdt
DBA Doing business as Morgan Co Hlth Dept Dist 10
Authorized official Goggans, Donald S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 19th, 2007
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 1205031267 NPPES
Georgia MEDICAID 000051983H

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