Enterprise Family Healthcare in Macon - Primary Care
Enterprise Family Healthcare - NPI 1760668586
Enterprise Family Healthcare is a Primary Care in Macon, Georgia. Enterprise Family Healthcare practices all healthcare services and medical treatments related to Primary Care. The NPI Number for Enterprise Family Healthcare is 1760668586. The last update date is 2008-01-10.
Enterprise Family Healthcare's current location address is 2192 Ingleside Ave, Macon, Georgia. You can contact this provider via phone number 4787459880 and fax number 4787458611. The mailing address for Enterprise Family Healthcare is 2192 Ingleside Ave, Macon, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Enterprise Family Healthcare |
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Address | 2192 Ingleside Ave, Macon, Georgia |
Phone Number | 4787459880 |
Fax Number | 4787458611 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICE MAN |
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Authorized Official Name | Harrelson M Dana |
Telephone Number | 4787459559 |
NPI Number Detail
NPI Number | 1760668586 |
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Provider Enumeration Date | 2008-01-10 |
Last Updated Date | 2008-01-10 |
Provider Mailing Address Detail
Address | 2192 Ingleside Ave |
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City | Macon |
State | Georgia (GA) |
Post Code | 312042030 |
Phone Number | 4787459880 |
Fax Number | 4787458611 |
Provider's Primary Taxonomy Detail
Speciality | Primary Care |
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Taxonomy | 261Qp2300X |
Licence No | 40767 |
Definition: Serves as the first point of contact for comprehensive healthcare services. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
GRP4689 | GA | MEDICARE GROUP NUMBER |
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What is the unique identifier code issued to Enterprise Family Healthcare by the Centers for Medicare & Medicaid Services (CMS)?
The Enterprise Family Healthcare has been assigned the NPI (National Provider Identifier) 1760668586. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Enterprise Family Healthcare?
The Enterprise Family Healthcare is situated at 2192 Ingleside Ave, in the city of Macon, state of GA, with the zip code 312042030.
What is the Enterprise Family Healthcare's area of specialization and corresponding taxonomy classification?
The Enterprise Family Healthcare's specialty field is Primary Care, and it falls under the taxonomy code 261Qp2300X, which categorizes healthcare providers based on their specialties.
On what date did the Enterprise Family Healthcare receive the assignment of its 1760668586 from the Centers for Medicare & Medicaid Services?
The Enterprise Family Healthcare was issued its 1760668586 by the Centers for Medicare & Medicaid Services on 2008-01-10.
As of what date were the Enterprise Family Healthcare's details last updated?
The information pertaining to the Enterprise Family Healthcare, including its address, specialty, and other details, was most recently updated on 2008-01-10.
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