Jackson Co Hlth Dept Dist 10

LBN: Northeast Health District - Epsdt County
Jackson Co Hlth Dept Dist 10 is an health care organization with primary practice located at 341 Stan Evans Dr , Jefferson GA 30549-2909. The organization recently has only one registered license in Ambulatory Health Care Facilities / Public Health, State or Local, which is considered as the primary health care specialty. Northeast Health District - Epsdt County can be contacted via phone (706) 367-5204, or through Goggans, Donald S via phone (706) 583-2870.

Contact Information

Primary practice address
341 Stan Evans Dr Jefferson GA 30549-2909
Phone: (706) 367-5204
Fax: (706) 367-9023
Website:
Map and Directions
Authorized official contact:
Name: Goggans, Donald S Doctor of Medicine (MD)
Phone: (706) 583-2870

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Public Health, State or Local 261QP0905X

Profile Details

NPI number 1871799205
LBN Legal business name Northeast Health District - Epsdt County
DBA Doing business as Jackson Co Hlth Dept Dist 10
Authorized official Goggans, Donald S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 22nd, 2007
Last updated Nov 21st, 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 1871799205 NPPES
Georgia MEDICAID 000051983F

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