Provider Demographics
NPI:1043394067
Name:HALL COUNTY BOARD OF HEALTH
Entity Type:Organization
Organization Name:HALL COUNTY BOARD OF HEALTH
Other - Org Name:CHILDREN WITH SPECIAL NEEDS
Other - Org Type:Other Name
Authorized Official - Title/Position:FISCAL MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-531-4052
Mailing Address - Street 1:1856 THOMPSON BRIDGE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-1663
Mailing Address - Country:US
Mailing Address - Phone:770-535-6907
Mailing Address - Fax:770-538-2784
Practice Address - Street 1:1856 THOMPSON BRIDGE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-1663
Practice Address - Country:US
Practice Address - Phone:770-535-6907
Practice Address - Fax:770-538-2784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare