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THE FAMILY HEALTH CENTERS OF GEORGIA INC NPI 1760741102


NPI Information

NPI: 1760741102
Provider Name: THE FAMILY HEALTH CENTERS OF GEORGIA, INC

Doing Business As: THE FAMILY HEALTH CENTER @ ADAMSVILLE REGIONAL HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3700 MARTIN LUTHER KING JR DR SW
ATLANTA, GA
ZIP 30331
Phone: (404) 613-6384
Get Directions

THE FAMILY HEALTH CENTERS OF GEORGIA, INC is a federally qualified health center (fqhc) clinic center in Atlanta, GA. THE FAMILY HEALTH CENTERS OF GEORGIA, INC NPI is 1760741102. The provider is registered as an organization entity type.
The provider Is Doing Business As The Family Health Center @ Adamsville Regional Health Center.

The provider's business location address is:

3700 MARTIN LUTHER KING JR DR SW
ATLANTA, GA
ZIP 30331-674
Phone: (404) 613-6384
Fax: (404) 893-6856

The provider's authorized official is Michael W Brooks .
The authorized official title is President, Ceo and has the following contact phone number (404) 752-1400.

The enumeration date for this NPI number is 5/4/2012 and was last updated on 10/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1111946MEDICARE OSCAR/CERTIFICATION
2000437478TMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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