COMMUNITY HEALTH CARE SYSTEMS INC NPI 1861666455

NPI Information

NPI: 1861666455
Provider Name: COMMUNITY HEALTH CARE SYSTEMS INC,

Doing Business As: SANDERSVILLE COMMUNITY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
616 FERNCREST DR
SANDERSVILLE, GA
ZIP 31082
Phone: (478) 552-1620
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COMMUNITY HEALTH CARE SYSTEMS INC, is a federally qualified health center (fqhc) clinic center in Sandersville, GA. COMMUNITY HEALTH CARE SYSTEMS INC, NPI is 1861666455. The provider is registered as an organization entity type.
The provider Is Doing Business As Sandersville Community Health Center.

The provider's business location address is:

616 FERNCREST DR
SANDERSVILLE, GA
ZIP 31082-863
Phone: (478) 552-1620
Fax: (478) 864-1288

The provider's authorized official is Lynn W Price .
The authorized official title is Insurance/billing Manager and has the following contact phone number (478) 864-3448.

The enumeration date for this NPI number is 4/15/2008 and was last updated on 11/21/2011.

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)		GEORGIA	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
1	111918	MEDICARE OSCAR/CERTIFICATION	GEORGIA
2	300029381A	MEDICAID	GEORGIA
3	GRP3403	MEDICARE PIN	GEORGIA
4	000521023E	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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