MCKINNEY COMMUNITY HEALTH CTR INC NPI 1568623346

NPI Information

NPI: 1568623346
Provider Name: MCKINNEY COMMUNITY HEALTH CTR, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
623 SYCAMORE ST
BLACKSHEAR, GA
ZIP 31516
Phone: (912) 449-3294
Get Directions

MCKINNEY COMMUNITY HEALTH CTR, INC is a federally qualified health center (fqhc) clinic center in Blackshear, GA. MCKINNEY COMMUNITY HEALTH CTR, INC NPI is 1568623346. The provider is registered as an organization entity type.

The provider's business location address is:

623 SYCAMORE ST
BLACKSHEAR, GA
ZIP 31516-119
Phone: (912) 449-3294
Fax: (912) 287-1568

The provider's authorized official is Ola Smith .
The authorized official title is Ceo and has the following contact phone number (912) 287-0301.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 10/29/2008.

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)			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	336245	OTHER	GEORGIA	WELLCARE
2	000715415C	MEDICAID	GEORGIA
3	10066125	OTHER	GEORGIA	AMERIGROUP
4	111874	MEDICARE OSCAR/CERTIFICATION	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 »