Provider Demographics
NPI:1134266778
Name:OGLETHORPE COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:OGLETHORPE COUNTY HEALTH DEPARTMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOGGANS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-583-2870
Mailing Address - Street 1:305 UNION POINT RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30648
Mailing Address - Country:US
Mailing Address - Phone:706-743-8181
Mailing Address - Fax:706-743-5811
Practice Address - Street 1:305 UNION POINT RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:GA
Practice Address - Zip Code:30648-2304
Practice Address - Country:US
Practice Address - Phone:706-743-8181
Practice Address - Fax:706-743-5811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA52322313OtherBCBS GA
GA7296093OtherCIGNA
GA339657OtherWELLCARE
GA000456574BMedicaid
GAFLU165OtherMEDICARE PART B (CAHABA G
GA000456574BOtherPEACH STATE HEALTH PLAN
GA514189OtherUNITED HEALTHCARE
GA10073780OtherAMERIGROUP CORP