National Provider Identifier Database

CLAY COUNTY BOARD OF HEALTH
Public Health or Welfare


Contact Information

CLAY COUNTY BOARD OF HEALTH
147 WILSON STREET
FORT GAINES, GA39851
Phone: 229-768-2355
Fax:
Website:
Specialty Taxonomy Code
* Public Health or Welfare 251K00000X

* Indicates primary specialty

NPI Profile & details for CLAY COUNTY BOARD OF HEALTH

NPI Number 1043275134
Legal business name
LBN
CLAY COUNTY BOARD OF HEALTH
Authorized official ZSOLT KOPPANYI - (DISTRICT HEALTH DIRECTORY)
Entity Organization
Organization subpart No
Enumeration date 04/20/2006
Last updated 06/30/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 00052082C
  • GA Medicaid: 000676552A
  • GA Medicaid: 000798091A
  • GA Medicaid: 00457729G

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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