MEDICARE: HARRIS 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

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

General Provider Information

NPI Number	:	1992732093
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS COUNTY BOARD OF HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 265
Second Line	:
City	:	HAMILTON
State	:	GA
Zip	:	31811-0265
Country	:	US
Telephone Number	:	833-337-1749
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 FORESTHILL DRIVE
Second Line	:
City	:	HAMILTON
State	:	GA
Zip	:	31811
Country	:	US
Telephone Number	:	706-628-5037
Fax Number	:	706-628-7196

Authorized Official
Title or Position	:	DISTRICT HEALTH DIRECTOR
Name	:	BEVERLEY TOWNSEND
Credential	:	M.D.
Telephone Number	:	706-321-6108

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	09/29/2025

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