CARECONNECT HEALTH INC. NPI 1598089658

NPI Information

NPI: 1598089658
Provider Name: CARECONNECT HEALTH, INC.

Doing Business As: CARECONNECT FAMILY PRACTICE

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D2006366

Address:
109 S 3RD ST
COCHRAN, GA
ZIP 31014
Phone: (478) 934-4988
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CARECONNECT HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Cochran, GA. CARECONNECT HEALTH, INC. NPI is 1598089658. The provider is registered as an organization entity type.
The provider Is Doing Business As Careconnect Family Practice.

The provider's business location address is:

109 S 3RD ST
COCHRAN, GA
ZIP 31014-718
Phone: (478) 934-4988
Fax: (478) 934-4989

The provider's authorized official is Linda Young .
The authorized official title is Secretary and has the following contact phone number (229) 273-8881.

The CLIA number assigned to this NPI record is 11D2006366 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2010 and was last updated on 4/14/2020.

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	747736056A	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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