Primary Health Care Center Of Dade, Inc. in Fort Oglethorpe - Federally Qualified Health Center (fqhc)
Primary Health Care Center Of Dade, Inc. - NPI 1255512182
Primary Health Care Center Of Dade, Inc. is a Federally Qualified Health Center (fqhc) in Fort Oglethorpe, Georgia. Primary Health Care Center Of Dade, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Primary Health Care Center Of Dade, Inc. is 1255512182. The last update date is 2022-09-22.
Primary Health Care Center Of Dade, Inc.'s current location address is 2009 Old Lafayette Rd, Fort Oglethorpe, Georgia. You can contact this provider via phone number 7068665520 and fax number 7068665502. The mailing address for Primary Health Care Center Of Dade, Inc. is 2009 Old Lafayette Rd, Fort Oglethorpe, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Primary Health Care Center Of Dade, Inc. |
|---|---|
| Address | 2009 Old Lafayette Rd, Fort Oglethorpe, Georgia |
| Phone Number | 7068665520 |
| Fax Number | 7068665502 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CREDENTIAL |
|---|---|
| Authorized Official Name | Buffington L Amy |
| Telephone Number | 7069562665 |
NPI Number Detail
| NPI Number | 1255512182 |
|---|---|
| Provider Enumeration Date | 2007-11-20 |
| Last Updated Date | 2022-09-22 |
Provider Mailing Address Detail
| Address | 2009 Old Lafayette Rd |
|---|---|
| City | Fort Oglethorpe |
| State | Georgia (GA) |
| Post Code | 307423510 |
| Phone Number | 7068665520 |
| Fax Number | 7068665502 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
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 |
|---|---|---|---|
| 000211956C | GA | -- |
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What is the Primary Health Care Center Of Dade, Inc.'s 1255512182?
The Primary Health Care Center Of Dade, Inc.'s NPI (National Provider Identifier) Number is 1255512182. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Primary Health Care Center Of Dade, Inc.?
The Primary Health Care Center Of Dade, Inc. is physically situated at 2009 Old Lafayette Rd, in the city of Fort Oglethorpe, state of GA, with the postal code 307423510.
What is the area of specialization for Primary Health Care Center Of Dade, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Primary Health Care Center Of Dade, Inc. is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255512182 to Primary Health Care Center Of Dade, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1255512182 to Primary Health Care Center Of Dade, Inc. on 2007-11-20.
When was the information regarding Primary Health Care Center Of Dade, Inc. most recently updated?
The details pertaining to the Primary Health Care Center Of Dade, Inc., including its address, specialty, and other relevant information, were last refreshed on 2022-09-22.
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