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CARECONNECT HEALTH INC. NPI 1902262629


NPI Information

NPI: 1902262629
Provider Name: CARECONNECT HEALTH, INC.

Doing Business As: CARECONNECT CONVENIENT CARE

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D2108173

Address:
259 BROAD ST
HAWKINSVILLE, GA
ZIP 31036
Phone: (478) 783-9340
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CARECONNECT HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Hawkinsville, GA. CARECONNECT HEALTH, INC. NPI is 1902262629. The provider is registered as an organization entity type.
The provider Is Doing Business As Careconnect Convenient Care.

The provider's business location address is:

259 BROAD ST
HAWKINSVILLE, GA
ZIP 31036-818
Phone: (478) 783-9340
Fax: (478) 783-3961

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 11D2108173 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/11/2016 and was last updated on 8/9/2022.


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)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

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.