Fayette County Health Department

LBN: Fayette County Board Of Health
Fayette County Health Department is an health care organization with primary practice located at 140 Stonewall Ave W Suite 107, Fayetteville GA 30214-1520. The organization recently has 2 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Ambulatory Health Care Facilities / Public Health, State or Local. Ambulatory Health Care Facilities / Public Health, State or Local is the primary health care specialty. Fayette County Board Of Health can be contacted via phone (770) 305-5416, or through Ellington, Rhonda via phone (706) 298-7732.

Contact Information

Primary practice address
140 Stonewall Ave W Suite 107 Fayetteville GA 30214-1520
Fax: (770) 305-5422
Website:
Authorized official contact:
Name: Ellington, Rhonda

Health care specialties

Profile Details

NPI number 1710972773
LBN Legal business name Fayette County Board Of Health
DBA Doing business as Fayette County Health Department
Authorized official Ellington, Rhonda
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2005
Last updated Sep 12th, 2023 - about last year

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 1710972773 NPPES
Georgia MEDICAID 000456453E
Georgia MEDICAID 000784352C
Georgia MEDICAID 000052093E
Georgia MEDICAID 000784352A
Georgia MEDICAID 000456453W

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