TMC TALLAPOOSA FAMILY HEALTHCARE CENTER NPI 1497760243

NPI Information

NPI: 1497760243
Provider Name: TMC TALLAPOOSA FAMILY HEALTHCARE CENTER
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
25 W LYON ST
TALLAPOOSA, GA
ZIP 30176
Phone: (770) 824-2800
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TMC TALLAPOOSA FAMILY HEALTHCARE CENTER is a rural health clinic center in Tallapoosa, GA. TMC TALLAPOOSA FAMILY HEALTHCARE CENTER NPI is 1497760243. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25 W LYON ST
TALLAPOOSA, GA
ZIP 30176-288
Phone: (770) 824-2800
Fax: (770) 824-2810

The provider's authorized official is Clint Hoffman .
The authorized official title is Sr Vp and has the following contact phone number (770) 838-8845.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 2/29/2024.

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				No
2	261QR1300X	Clinic/Center	Rural Health			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	367607289B	OTHER	GEORGIA	CLINIC RENDERING NUMBER
2	540960632A	MEDICAID	GEORGIA
3	CH7677	OTHER	GEORGIA	MEDICARE ID

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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