Provider Demographics
NPI:1538196522
Name:STEWART COUNTY BOARD OF HEALTH
Entity type:Organization
Organization Name:STEWART COUNTY BOARD OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT HEALTH DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BEVERLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-321-6108
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:LUMPKIN
Mailing Address - State:GA
Mailing Address - Zip Code:31815-0307
Mailing Address - Country:US
Mailing Address - Phone:833-337-1749
Mailing Address - Fax:229-838-6053
Practice Address - Street 1:211 HEALTH DEPARTMENT RD
Practice Address - Street 2:
Practice Address - City:LUMPKIN
Practice Address - State:GA
Practice Address - Zip Code:31815-4042
Practice Address - Country:US
Practice Address - Phone:833-337-1749
Practice Address - Fax:229-838-6053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00058726QMedicaid
GA537697288AMedicaid
GA00457729VMedicaid
GA00052082MMedicaid