Provider Demographics
NPI:1568584605
Name:HALL COUNTY HEALTH DEPT
Entity Type:Organization
Organization Name:HALL COUNTY HEALTH DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILDHEALTH INTAKE AND LAB NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DYETTA
Authorized Official - Middle Name:CROMWELL
Authorized Official - Last Name:PEOPLES
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:770-531-5644
Mailing Address - Street 1:5208 TRUDY CIR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30504-5139
Mailing Address - Country:US
Mailing Address - Phone:770-531-5644
Mailing Address - Fax:
Practice Address - Street 1:1290 ATHENS ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30507-7000
Practice Address - Country:US
Practice Address - Phone:770-531-5644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local