South Cobb Public Health Center

LBN: Cobb County Board Of Health
South Cobb Public Health Center is an health care organization with primary practice located at 875 Six Flags Dr , Austell GA 30168-7064. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Cobb County Board Of Health can be contacted via phone (678) 385-1360, or through Carlson, Tyler via phone (770) 514-2342.

Contact Information

Primary practice address
875 Six Flags Dr Austell GA 30168-7064
Phone: (678) 385-1360
Fax: (678) 385-1376
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Tyler CPA
Phone: (770) 514-2342

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X Georgia

Profile Details

NPI number 1104895572
LBN Legal business name Cobb County Board Of Health
DBA Doing business as South Cobb Public Health Center
Authorized official Carlson, Tyler CPA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Jul 9th, 2010 - about 14 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 1104895572 NPPES
Georgia MEDICAID 000456431L
Georgia MEDICAID 000058616F
Georgia MEDICAID 617672014A

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