Provider Demographics
NPI:1376611947
Name:WHEELER COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:WHEELER COUNTY HEALTH DEPARTMENT
Other - Org Name:WHEELER COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:SPICER
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-275-6545
Mailing Address - Street 1:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:GA
Mailing Address - Zip Code:30411-0669
Mailing Address - Country:US
Mailing Address - Phone:912-568-7161
Mailing Address - Fax:912-568-7770
Practice Address - Street 1:414 KENT STREET
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:GA
Practice Address - Zip Code:30411
Practice Address - Country:US
Practice Address - Phone:912-568-7161
Practice Address - Fax:912-568-7770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare