{"npi":"1316928930","type":"NPI-2","status":"active","name":{"display":"Mcintosh County Board Of Health","other":[],"organization_name":"MCINTOSH COUNTY BOARD OF HEALTH","authorised_official":"Stacy Cooper"},"specialty":{"primary_taxonomy":"251K00000X","primary_taxonomy_description":"Public Health or Welfare Agency","slug":"public-health-or-welfare-agency","schema_org_specialty":null,"all":[{"code":"251K00000X","description":"Public Health or Welfare Agency","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1335 GA HIGHWAY 57","city":"TOWNSEND","state":"GA","postal_code":"313318130","country_code":"US","phone":"9128325473","fax":"9128325509"},{"purpose":"MAILING","street_1":"150 SCRANTON CONNECTOR","city":"BRUNSWICK","state":"GA","postal_code":"315250540","country_code":"US","phone":"9122622347","fax":"9122623036"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"000051818G","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"000457938F","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"000456508M","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"FLU151","state":"GA","issuer":"MEDICARE ID"},{"type_code":"05","label":"Medicaid","value":"000551944A","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"000453219M","state":"GA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150204000316","type_code":"12-73","type_desc":"PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)","state":"GA","pac_id":"3476541020"}]},"enumeration_date":"2005-11-10","last_updated":"2015-01-07","_meta":{"source":"NPPES","snapshot_date":"2015-01-07","doc_url":"https://findmynpi.com/api"}}