MEDICARE: HOUSTON 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	3336C0003X	Community/Retail Pharmacy

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

General Provider Information

NPI Number	:	1700360831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	416 S TYLER ST
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79101-2346
Country	:	US
Telephone Number	:	806-242-7782
Fax Number	:	478-238-9417

Provider Business Practice Location Address
First Line	:	3920 ARKWRIGHT RD STE 415
Second Line	:
City	:	MACON
State	:	GA
Zip	:	31210-1731
Country	:	US
Telephone Number	:	833-789-5302
Fax Number	:	478-238-9417

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

Provider Enumeration Date	:	09/25/2018
Last Update Date	:	03/31/2026

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Directions to “HOUSTON COUNTY HEALTH DEPARTMENT ” Practice Location

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