DIVERSITY HEALTH CENTER INC. NPI 1326594714

NPI Information

NPI: 1326594714
Provider Name: DIVERSITY HEALTH CENTER INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D2115874

Address:
502 E GENERAL STEWART WAY STE A
HINESVILLE, GA
ZIP 31313
Phone: (912) 318-3947
Get Directions

DIVERSITY HEALTH CENTER INC. is a federally qualified health center (fqhc) clinic center in Hinesville, GA. DIVERSITY HEALTH CENTER INC. NPI is 1326594714. The provider is registered as an organization entity type.

The provider's business location address is:

502 E GENERAL STEWART WAY STE A
HINESVILLE, GA
ZIP 31313-643
Phone: (912) 318-3947
Fax: (912) 877-0189

The provider's authorized official is Stephanie Jones-theaker .
The authorized official title is Ceo and has the following contact phone number (912) 318-3947.

The CLIA number assigned to this NPI record is 11D2115874 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/26/2016 and was last updated on 8/26/2016.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	20843	GEORGIA	Yes

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 »