GEORGIA HIGHLANDS MEDICAL SERVICES INC. NPI 1407281058

NPI Information

NPI: 1407281058
Provider Name: GEORGIA HIGHLANDS MEDICAL SERVICES, INC.

Doing Business As: BARTOW FAMILY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
775 WEST AVE
SUITE A
CARTERSVILLE, GA
ZIP 30120
Phone: (770) 887-1668
Get Directions

GEORGIA HIGHLANDS MEDICAL SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Cartersville, GA. GEORGIA HIGHLANDS MEDICAL SERVICES, INC. NPI is 1407281058. The provider is registered as an organization entity type.
The provider Is Doing Business As Bartow Family Health Center.

The provider's business location address is:

775 WEST AVE
SUITE A
CARTERSVILLE, GA
ZIP 30120-481
Phone: (770) 887-1668
Fax: (770) 887-3462

The provider's authorized official is Todd Shifflet .
The authorized official title is Ceo and has the following contact phone number (770) 887-1668.

The enumeration date for this NPI number is 9/13/2013 and was last updated on 5/9/2022.

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	261QU0200X	Clinic/Center	Urgent Care			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		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	003146289A	MEDICAID	GEORGIA
2	300022400A	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

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