Provider Demographics
NPI:1609343037
Name:WHITFIELD COUNTY BOARD OF HEALTH
Entity Type:Organization
Organization Name:WHITFIELD COUNTY BOARD OF HEALTH
Other - Org Name:THE LIVING BRIDGE
Other - Org Type:Other Name
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:
Authorized Official - Last Name:KINSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-529-5757
Mailing Address - Street 1:1710 WHITEHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-8523
Mailing Address - Country:US
Mailing Address - Phone:706-529-5741
Mailing Address - Fax:
Practice Address - Street 1:130 RIVERSTONE TER STE 102
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-1702
Practice Address - Country:US
Practice Address - Phone:470-863-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-24
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare