PRIMARY HEALTH CARE CENTER OF DADE INC. NPI 1811688914

NPI Information

NPI: 1811688914
Provider Name: PRIMARY HEALTH CARE CENTER OF DADE, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
100 MITCHELL RD
FORT OGLETHORPE, GA
ZIP 30742
Phone: (706) 866-5520
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PRIMARY HEALTH CARE CENTER OF DADE, INC. is a federally qualified health center (fqhc) clinic center in Fort Oglethorpe, GA. PRIMARY HEALTH CARE CENTER OF DADE, INC. NPI is 1811688914. The provider is registered as an organization entity type.

The provider's business location address is:

100 MITCHELL RD
FORT OGLETHORPE, GA
ZIP 30742-683
Phone: (706) 866-5520
Fax: (706) 657-2958

The provider's authorized official is Amy Buffington .
The authorized official title is Credentialing Director and has the following contact phone number (706) 620-4494.

The enumeration date for this NPI number is 5/18/2023 and was last updated on 5/18/2023.

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

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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