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GOODWIN COMMUNITY HEALTH CENTER NPI 1891904579


NPI Information

NPI: 1891904579
Provider Name: GOODWIN COMMUNITY HEALTH CENTER

Doing Business As: COASTAL MEDICAL ACCESS PROJECT

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3010 HAMPTON AVE
STE 6
BRUNSWICK, GA
ZIP 31520
Phone: (912) 466-8909
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GOODWIN COMMUNITY HEALTH CENTER is a clinic center in Brunswick, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). GOODWIN COMMUNITY HEALTH CENTER NPI is 1891904579. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Medical Access Project.

The provider's business location address is:

3010 HAMPTON AVE
STE 6
BRUNSWICK, GA
ZIP 31520-224
Phone: (912) 466-8909
Fax: (912) 466-8995

The provider's authorized official is Patricia J Kota .
The authorized official title is Ceo and has the following contact phone number (912) 554-3559.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.


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
1261Q00000XClinic/CenterYes

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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