| Troup County Health Department | |
|
900 Dallis St Lagrange GA 30240-4401 | |
| (706) 845-4085 | |
| (706) 845-4089 |
| Full Name | Troup County Health Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 Dallis St, Lagrange, Georgia |
| Authorized Official Name and Position | Rhonda Ellington (BILLING SUPERVISOR) |
| Authorized Official Contact | 7062987732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Troup County Health Department 900 Dallis St Lagrange GA 30240-4401 Ph: (706) 845-4085 | Troup County Health Department 900 Dallis St Lagrange GA 30240-4401 Ph: (706) 845-4085 |
| NPI Number | 1306838586 |
|---|---|
| Provider Enumeration Date | 08/16/2005 |
| Last Update Date | 09/22/2023 |
| Medicare PECOS PAC ID | 1052306909 |
|---|---|
| Medicare Enrollment ID | O20160606001150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306838586 | NPI | - | NPPES |
| 00456453P | Other | DSPS | |
| 00654508A | Other | PERINATAL | |
| 000058737A | Other | FAMILY PLANNING | |
| 00052093L | Other | EPSDT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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