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MCKINNEY MEDICAL CENTER INC NPI 1821476193


NPI Information

NPI: 1821476193
Provider Name: MCKINNEY MEDICAL CENTER INC

Doing Business As: MCKINNEY MEDICAL CENTER, INC

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
711 CHARLES GILMAN JR AVE STE B
KINGSLAND, GA
ZIP 31548
Phone: (912) 510-9728
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MCKINNEY MEDICAL CENTER INC is a federally qualified health center (fqhc) clinic center in Kingsland, GA. MCKINNEY MEDICAL CENTER INC NPI is 1821476193. The provider is registered as an organization entity type.
The provider Is Doing Business As Mckinney Medical Center, Inc.

The provider's business location address is:

711 CHARLES GILMAN JR AVE STE B
KINGSLAND, GA
ZIP 31548-664
Phone: (912) 510-9728

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 5/7/2015 and was last updated on 6/5/2019.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)K408492GEORGIAYes

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

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