MEDICARE: EMANUEL 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	251K00000X	Public Health or Welfare Agency

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	600001695	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
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

General Provider Information

NPI Number	:	1932416674
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMANUEL COUNTY BOARD OF HEALTH

Provider Business Mailing Address
First Line	:	50 HIGHWAY 56 N
Second Line	:
City	:	SWAINSBORO
State	:	GA
Zip	:	30401-4441
Country	:	US
Telephone Number	:	478-237-7501
Fax Number	:	478-289-2501

Provider Business Practice Location Address
First Line	:	503 S RAILROAD AVE
Second Line	:
City	:	TWIN CITY
State	:	GA
Zip	:	30471
Country	:	US
Telephone Number	:	478-763-3452
Fax Number	:

Authorized Official
Title or Position	:	DISTRICT BILLING SUPERVISOR
Name	:	SHANNON C NEWTON
Credential	:
Telephone Number	:	706-667-4265

Provider Enumeration Date	:	09/01/2010
Last Update Date	:	03/20/2020

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Directions to “EMANUEL COUNTY BOARD OF HEALTH ” Practice Location

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