MEDICARE: BALDWIN COUNTY HEALTH DEPARTMENT

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	251K00000X	Public Health or Welfare Agency

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	FLU167	OTHER	GA	MEDICARE

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
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184634495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALDWIN COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	201 2ND ST STE 1100
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31201-6328
Country	:	US
Telephone Number	:	478-297-5190
Fax Number	:	478-751-6099

Provider Business Practice Location Address
First Line	:	100 IRELAND DR NW
Second Line	:
City	:	MILLEDGEVILLE
State	:	GA
Zip	:	31061-8531
Country	:	US
Telephone Number	:	478-445-4264
Fax Number	:	478-445-6525

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DANIELLE MCNAIR
Credential	:
Telephone Number	:	478-751-6303

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	07/23/2024

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Directions to “BALDWIN COUNTY HEALTH DEPARTMENT ” Practice Location

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