Organization Name: | LIBERTY COUNTY BOARD OF HEALTH |
NPI Number: | 1245546704 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACY A COOPER (DISTRICT BILLING DEPT. COORDINATOR) |
Mailing Address: | 1113 E Oglethorpe Hwy Hinesville |
State: | GA US |
Postal Code: | 313131200 |
Phone Number: | 9128762173 |
Fax Number: | 9123688033 |
NPI Enumeration Date: | 08/23/2010 |
NPI Last Update Date: | 01/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |