PALMETTO HEALTH COUNCIL INC NPI 1164682662

NPI Information

NPI: 1164682662
Provider Name: PALMETTO HEALTH COUNCIL INC

Doing Business As: YOURTOWN HEALTH

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
101 COMMERCE PL
SUITE 1
BARNESVILLE, GA
ZIP 30204
Phone: (770) 358-4408
Get Directions

PALMETTO HEALTH COUNCIL INC is a federally qualified health center (fqhc) clinic center in Barnesville, GA. PALMETTO HEALTH COUNCIL INC NPI is 1164682662. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Yourtown Health.

The provider's business location address is:

101 COMMERCE PL
SUITE 1
BARNESVILLE, GA
ZIP 30204-680
Phone: (770) 358-4408
Fax: (770) 358-0002

The provider's authorized official is Jon W Wollenzien .
The authorized official title is Ceo and has the following contact phone number (404) 929-8824.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 5/10/2019.

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
1	207Q00000X	Family Medicine		H800040	GEORGIA	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	H800040	GEORGIA	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
1	000472128E	MEDICAID	GEORGIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »