Provider Demographics
NPI:1447989561
Name:LINCOLN COUNTY BOARD OF HEALTH
Entity type:Organization
Organization Name:LINCOLN COUNTY BOARD OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:C
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:706-667-4265
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:GA
Mailing Address - Zip Code:30817-0065
Mailing Address - Country:US
Mailing Address - Phone:706-359-3154
Mailing Address - Fax:706-359-1939
Practice Address - Street 1:176 N PEACHTREE ST
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:GA
Practice Address - Zip Code:30817-5871
Practice Address - Country:US
Practice Address - Phone:706-359-3154
Practice Address - Fax:706-359-1939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare