Palmetto Health Council Inc in Zebulon - Federally Qualified Health Center (fqhc)

Palmetto Health Council Inc - NPI 1134344732

Palmetto Health Council Inc is a Federally Qualified Health Center (fqhc) in Zebulon, Georgia. Palmetto Health Council Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Palmetto Health Council Inc is 1134344732. The last update date is 2019-05-10.

Palmetto Health Council Inc's current location address is 16201 Barnesville St, Zebulon, Georgia. You can contact this provider via phone number 7705673323 and fax number 7705670332. The mailing address for Palmetto Health Council Inc is 16201 Barnesville St, Zebulon, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Palmetto Health Council Inc
Address 16201 Barnesville St, Zebulon, Georgia
Phone Number 7705673323
Fax Number 7705670332
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Wollenzien W Jon
Credentials DBA
Telephone Number 4049298824

NPI Number Detail

NPI Number 1134344732
Provider Enumeration Date 2007-04-17
Last Updated Date 2019-05-10

Provider Mailing Address Detail

Address 16201 Barnesville St
City Zebulon
State Georgia (GA)
Post Code 302953380
Phone Number 7705673323
Fax Number 7705670332

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No H800040
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000228379A GA --

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FAQs about Palmetto Health Council Inc

What is the unique 10-digit identification code issued to Palmetto Health Council Inc by the Centers for Medicare & Medicaid Services?

The Palmetto Health Council Inc has been assigned the NPI (National Provider Identifier) 1134344732 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Palmetto Health Council Inc is located?

The Palmetto Health Council Inc is situated at the following address: 16201 Barnesville St, Zebulon, GA, 302953380.

What is Palmetto Health Council Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Palmetto Health Council Inc's area of specialization is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this field of practice is 261Qf0400X.

On what date did the Centers for Medicare & Medicaid Services issue the 1134344732 to Palmetto Health Council Inc?

The Palmetto Health Council Inc received its 1134344732 assignment from the Centers for Medicare & Medicaid Services on 2007-04-17.

When was the information pertaining to Palmetto Health Council Inc most recently updated or revised?

The details related to Palmetto Health Council Inc, including its address, specialty, and other relevant information, were last updated or revised on 2019-05-10.

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