1881776508 NPI number — FLOYD COUNTY HEALTH DEPARTMENT

Table of content: MAUREEN SLANEY MS/CCC/SLP (NPI 1306277157)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881776508 NPI number — FLOYD COUNTY HEALTH DEPARTMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FLOYD COUNTY HEALTH DEPARTMENT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FLOYD COUNTY BOARD OF HEALTH
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881776508
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16 E 12TH ST SW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROME
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30161-4720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-295-6123
Provider Business Mailing Address Fax Number:
706-802-5445

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 E 12TH ST SW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROME
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30161-4720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-295-6123
Provider Business Practice Location Address Fax Number:
706-802-5445
Provider Enumeration Date:
10/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SELLERS
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
W
Authorized Official Title or Position:
DISTRICT HEALTH DIRECTOR
Authorized Official Telephone Number:
706-295-6704

Provider Taxonomy Codes

  • Taxonomy code: 163WC0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QF0050X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000699234D , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000051829F , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000457751F , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000619605C , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000699234A , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2024 www.npivalidator.com