Provider Demographics
NPI:1295708303
Name:CANDLER COUNTY BOARD OF COMMISSIONERS
Entity type:Organization
Organization Name:CANDLER COUNTY BOARD OF COMMISSIONERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:XAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:WINKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-685-6007
Mailing Address - Street 1:PO BOX 578
Mailing Address - Street 2:
Mailing Address - City:METTER
Mailing Address - State:GA
Mailing Address - Zip Code:30439-0578
Mailing Address - Country:US
Mailing Address - Phone:912-685-5965
Mailing Address - Fax:912-685-4363
Practice Address - Street 1:1065 E HIAWATHA STREET
Practice Address - Street 2:
Practice Address - City:METTER
Practice Address - State:GA
Practice Address - Zip Code:30439-0000
Practice Address - Country:US
Practice Address - Phone:912-685-5965
Practice Address - Fax:912-685-4363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
GA021-023416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000579092AMedicaid
GA000579092AMedicaid