PRIMARY HEALTH CARE CENTER OF DADE INC. NPI 1952723298

NPI Information

NPI: 1952723298
Provider Name: PRIMARY HEALTH CARE CENTER OF DADE, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D2071818

Address:
118 E GIRARD AVE
CEDARTOWN, GA
ZIP 30125
Phone: (706) 866-8820
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PRIMARY HEALTH CARE CENTER OF DADE, INC. is a federally qualified health center (fqhc) clinic center in Cedartown, GA. PRIMARY HEALTH CARE CENTER OF DADE, INC. NPI is 1952723298. The provider is registered as an organization entity type.

The provider's business location address is:

118 E GIRARD AVE
CEDARTOWN, GA
ZIP 30125-778
Phone: (706) 866-8820
Fax: (706) 866-5502

The provider's authorized official is Diana U Allen .
The authorized official title is Ceo and has the following contact phone number (706) 996-8251.

The CLIA number assigned to this NPI record is 11D2071818 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2014 and was last updated on 4/7/2014.

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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