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DOUGHERTY COUNTY COMMUNITY COALITION INC NPI 1154544856


NPI Information

NPI: 1154544856
Provider Name: DOUGHERTY COUNTY COMMUNITY COALITION, INC

Doing Business As: FRIENDSHIP PERSONAL CARE HOME

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
723 W OGLETHORPE BLVD
ALBANY, GA
ZIP 31701
Phone: (229) 438-8517
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DOUGHERTY COUNTY COMMUNITY COALITION, INC is a point of service in Albany, GA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. DOUGHERTY COUNTY COMMUNITY COALITION, INC NPI is 1154544856. The provider is registered as an organization entity type.
The provider Is Doing Business As Friendship Personal Care Home.

The provider's business location address is:

723 W OGLETHORPE BLVD
ALBANY, GA
ZIP 31701-777
Phone: (229) 438-8517

The provider's authorized official is Portia S Johnson .
The authorized official title is Administrator and has the following contact phone number (229) 438-8517.

The enumeration date for this NPI number is 4/11/2007 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
1305S00000XPoint of ServiceYes

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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