# DEKALB COUNTY BOARD OF HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEKALB COUNTY BOARD OF HEALTH
- **Other names:** Kirkwood Health Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548366685
- **Legal business name:** DEKALB COUNTY BOARD OF HEALTH
- **Authorized official:** SANDRA E FORD MD (DISTRICT DIRECTOR/CEO)
- **Authorized official phone:** (404) 294-3787

## Contact information

- **Practice address:** 30 WARREN ST SE, ATLANTA, GA 30317-2267
- **Practice address phone:** (404) 370-7360
- **Practice address fax:** (404) 370-7379
- **Mailing address:** 445 WINN WAY, PO BOX 987, DECATUR, GA 30030-1707
- **Mailing address phone:** (404) 294-3701
- **Mailing address fax:** (404) 508-7862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0400X | Case Management Registered Nurse | — | GA | — |
| 251K00000X | Public Health or Welfare Agency | — | GA | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 251X00000X | Supports Brokerage Agency | — | GA | — |
| 261QA0006X | Ambulatory Fertility Facility | — | GA | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | GA | — |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 10/23/2007