Mckinney Community Health Ctr, Inc in St George - Federally Qualified Health Center (fqhc)
Mckinney Community Health Ctr, Inc - NPI 1306009576
Mckinney Community Health Ctr, Inc is a Federally Qualified Health Center (fqhc) in St George, Georgia. Mckinney Community Health Ctr, Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mckinney Community Health Ctr, Inc is 1306009576. The last update date is 2010-09-21.
Mckinney Community Health Ctr, Inc's current location address is 253 Georgia Avenue, St George, Georgia. You can contact this provider via phone number 9128432124 and fax number 9122870687. The mailing address for Mckinney Community Health Ctr, Inc is 253 Georgia Avenue, St George, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mckinney Community Health Ctr, Inc |
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Address | 253 Georgia Avenue, St George, Georgia |
Phone Number | 9128432124 |
Fax Number | 9122870687 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
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Authorized Official Name | Smith Ola |
Telephone Number | 9122870304 |
NPI Number Detail
NPI Number | 1306009576 |
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Provider Enumeration Date | 2008-07-08 |
Last Updated Date | 2010-09-21 |
Provider Mailing Address Detail
Address | 253 Georgia Avenue |
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City | St George |
State | Georgia (GA) |
Post Code | 315379687 |
Phone Number | 9128432124 |
Fax Number | 9122870687 |
Provider's Primary Taxonomy Detail
Speciality | Federally Qualified Health Center (fqhc) |
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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 |
---|---|---|---|
336242 | GA | WELLCARE | |
10066125 | GA | AMERIGROUP | |
000715415D | GA | -- |
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What is the unique 10-digit identifier code issued to Mckinney Community Health Ctr, Inc by the Centers for Medicare & Medicaid Services?
The Mckinney Community Health Ctr, Inc has been assigned the NPI (National Provider Identifier) 1306009576 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Mckinney Community Health Ctr, Inc's physical address?
The Mckinney Community Health Ctr, Inc is physically located at 253 Georgia Avenue, in the city of St George, GA, with the postal code 315379687.
What is Mckinney Community Health Ctr, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mckinney Community Health Ctr, Inc's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
When was the Mckinney Community Health Ctr, Inc's 1306009576 issued?
The Mckinney Community Health Ctr, Inc's 1306009576 was issued on 2008-07-08.
When was the Mckinney Community Health Ctr, Inc's information last updated?
The Mckinney Community Health Ctr, Inc's information was last updated on 2010-09-21.