Provider Demographics
NPI:1134265424
Name:COUNTY OF BARROW HEALTH DEPARTMENT
Entity type:Organization
Organization Name:COUNTY OF BARROW 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:PO BOX 1099
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-1099
Mailing Address - Country:US
Mailing Address - Phone:770-307-3011
Mailing Address - Fax:770-307-1039
Practice Address - Street 1:15 PORTER STREET EAST
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680
Practice Address - Country:US
Practice Address - Phone:770-307-3011
Practice Address - Fax:770-307-1039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
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
GA344276OtherWELLCARE
GA000456574KOtherPEACH STATE HEALTH PLAN
GA52065021OtherBCBS GA
GAFLU154OtherMEDICARE PART B (CAHABA G
GA10045629OtherAMERIGROUP CORP
GA3974342OtherCIGNA
GA000456574KMedicaid
GA816678OtherUNITED HEALTHCARE