Provider Demographics
NPI:1598733255
Name:MERIWETHER COUNTY BOARD OF HEALTH
Entity Type:Organization
Organization Name:MERIWETHER COUNTY BOARD OF HEALTH
Other - Org Name:MERIWETHER COUNTY HEALTH DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELLINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-298-7732
Mailing Address - Street 1:51 GAY CONNECTOR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30222-3339
Mailing Address - Country:US
Mailing Address - Phone:706-672-4974
Mailing Address - Fax:706-672-1065
Practice Address - Street 1:51 GAY CONNECTOR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:GA
Practice Address - Zip Code:30222-3339
Practice Address - Country:US
Practice Address - Phone:706-672-4974
Practice Address - Fax:706-672-1065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAREF000026462251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000784363AMedicaid
GA00456453JMedicaid
GA00784363AMedicaid
GA300022929AMedicaid
GA003112511JMedicaid
GA00456453KMedicaid
GA00519054AMedicaid
GA00663495AMedicaid
GA300022929EMedicaid
GA00052093IMedicaid