Bryan County Health Department

LBN: Bryan County Health Department
Bryan County Health Department is an health care organization with primary practice located at 430 Ledford Street , Pembroke GA 31321-0009. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Bryan County Health Department can be contacted via phone (912) 653-4331, or through Cooper, Stacy A via phone (912) 262-2347.

Contact Information

Primary practice address
430 Ledford Street Pembroke GA 31321-0009
Fax: (912) 653-4328
Website:
Authorized official contact:
Name: Cooper, Stacy A

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1992895122
LBN Legal business name Bryan County Health Department
DBA Doing business as
Authorized official Cooper, Stacy A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Jan 6th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992895122 NPPES
Georgia MEDICAID 000051818B
Georgia MEDICAID 000456508A
Georgia MEDICAID 000457938B
Georgia MEDICAID 000551922A
Georgia Other FLU139
Georgia MEDICAID 000453219E

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