PERFECT HEALTH ALWAYS ON CALL LLC NPI 1457797938

NPI Information

NPI: 1457797938
Provider Name: PERFECT HEALTH ALWAYS ON CALL, LLC

Other Name: PERFECT HEALTH URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
4244 WASHINGTON RD
EVANS, GA
ZIP 30809
Phone: (706) 760-7607
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PERFECT HEALTH ALWAYS ON CALL, LLC is an urgent care clinic center in Evans, GA. PERFECT HEALTH ALWAYS ON CALL, LLC NPI is 1457797938. The provider is registered as an organization entity type.
The provider Other Name Is Perfect Health Urgent Care.

The provider's business location address is:

4244 WASHINGTON RD
EVANS, GA
ZIP 30809
Phone: (706) 760-7607
Fax: (706) 760-7605

The provider's authorized official is Troy Paul Coon .
The authorized official title is Physician and has the following contact phone number (762) 218-3627.

The CLIA number assigned to this NPI record is 11D2133215 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2013 and was last updated on 7/3/2018.

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	332900000X	Non-Pharmacy Dispensing Site		056422	GEORGIA	No
2	261QU0200X	Clinic/Center	Urgent Care	056422	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	202G706320	OTHER	GEORGIA	MEDICARE
2	003164473A	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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