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NPI Code Detail

MEDICARE: GLYNN COUNTY BOARD OF HEALTH

MEDICARE: GLYNN 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
1251K00000XPublic Health or Welfare Agency

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6FLU143OTHERGAMEDICARE NUMBER

Other Identifiers

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

General Provider Information

NPI Number : 1730187188
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLYNN COUNTY BOARD OF HEALTH
Provider Business Mailing Address
First Line : 150 SCRANTON CONNECTOR
Second Line :
City : BRUNSWICK
State : GA
Zip : 31525-0540
Country : US
Telephone Number : 912-262-2347
Fax Number : 912-262-3036
Provider Business Practice Location Address
First Line : 2747 4TH ST
Second Line :
City : BRUNSWICK
State : GA
Zip : 31520-3714
Country : US
Telephone Number : 912-262-2347
Fax Number : 912-262-3036
Authorized Official
Title or Position : DISTRICT BILLING DEPT. COORDINATOR
Name : MRS. STACY A COOPER
Credential :
Telephone Number : 912-262-2347
Provider Enumeration Date : 07/11/2005
Last Update Date : 01/06/2015

Similar Medicare Providers

1164429692 — GLYNN COUNTY BOARD OF HEALTH
Practice Location Address:
2747 4TH ST
BRUNSWICK, GA
31520-3714
Practice Phone: 912-264-3236
Practice Fax: 912-262-3051
1730262221 — MRS. PATRICIA APRIL LUERA PHARM.D.
Practice Location Address:
2747 4TH ST
BRUNSWICK, GA
31520-3714
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1477956746 — MRS. TANYA COOK RN
Practice Location Address:
2747 4TH ST
BRUNSWICK, GA
31520-3714
Practice Phone: 912-264-3961
Practice Fax:
1801299185 — GINGER STUBBS RN, BSN
Practice Location Address:
2747 4TH ST
BRUNSWICK, GA
31520-3714
Practice Phone: 912-264-3961
Practice Fax: 912-279-3349
1689077968 — LAURA SIMS
Practice Location Address:
2747 4TH ST
BRUNSWICK, GA
31520-3714
Practice Phone: 912-264-3961
Practice Fax: 912-279-3349
1265835417 — TAWANA JOHNSON RN
Practice Location Address:
2747 4TH ST
BRUNSWICK, GA
31520-3714
Practice Phone: 912-264-3961
Practice Fax: 912-279-3349

Directions to “GLYNN COUNTY BOARD OF HEALTH ” Practice Location

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