Provider Demographics
NPI:1861532640
Name:WALTON COUNTY HEALH DEPARTMENT
Entity type:Organization
Organization Name:WALTON COUNTY HEALH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL ASSISTANT II
Authorized Official - Prefix:
Authorized Official - First Name:BILLIE
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:PEAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-892-8015
Mailing Address - Street 1:475 STATE HWY 83
Mailing Address - Street 2:
Mailing Address - City:DEFUNIAK SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32433-1733
Mailing Address - Country:US
Mailing Address - Phone:850-892-8015
Mailing Address - Fax:850-892-8024
Practice Address - Street 1:475 STATE HIGHWAY 83
Practice Address - Street 2:
Practice Address - City:DEFUNIAK SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32433-1733
Practice Address - Country:US
Practice Address - Phone:850-892-8015
Practice Address - Fax:850-892-8024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251K00000X251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare