MEDICARE: WHITFIELD COUNTY BOARD OF HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency
2	251K00000X	Public Health or Welfare Agency		GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093789075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITFIELD COUNTY BOARD OF HEALTH

Provider Business Mailing Address
First Line	:	800 PROFESSIONAL BLVD
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-2536
Country	:	US
Telephone Number	:	706-279-9600
Fax Number	:	706-281-2325

Provider Business Practice Location Address
First Line	:	800 PROFESSIONAL BLVD
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-2536
Country	:	US
Telephone Number	:	706-279-9600
Fax Number	:	706-281-2325

Authorized Official
Title or Position	:	BILLING SUPERVISOR
Name	:	KELLI KINSEY
Credential	:	CPB
Telephone Number	:	706-529-5757

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	02/26/2025

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Directions to “WHITFIELD COUNTY BOARD OF HEALTH ” Practice Location

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