NPI:
1548621089
Provider Name:
MCKINNEY MEDICAL CENTER, INC.
Doing Business As: MCKINNEY MEDICAL CENTER, INC
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
CLIA Number: 11D2097552
Address:
3913 MAIN ST
FOLKSTON, GA
ZIP 31537
Phone:
(912) 496-0826
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MCKINNEY MEDICAL CENTER, INC. is a federally qualified health center (fqhc) clinic center in Folkston, GA. MCKINNEY MEDICAL CENTER, INC. NPI is 1548621089. The provider is registered as an organization entity type.
The provider Is Doing Business As Mckinney Medical Center, Inc.
The provider's business location address is:
3913 MAIN ST
FOLKSTON, GA
ZIP 31537-545
Phone: (912) 496-0826
Fax: (912) 496-6341
The provider's authorized official is Ola Smith .
The authorized official title is Ceo and has the following contact phone number (912) 287-0301.
The CLIA number assigned to this NPI record is 11D2097552 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/11/2016 and was last updated on 5/12/2021.