Kerry Chester Diver in Augusta - Federally Qualified Health Center (fqhc)
Kerry Chester Diver - NPI 1790738904
Kerry Chester Diver is a Federally Qualified Health Center (fqhc) in Augusta, Georgia. Kerry Chester Diver practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Kerry Chester Diver is 1790738904. The last update date is 2015-12-09.
Kerry Chester Diver's current location address is 1303 Dantignac St, Augusta, Georgia. You can contact this provider via phone number 7067747760 and fax number 7067747766. The mailing address for Kerry Chester Diver is 1303 Dantignac St, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry Chester Diver |
|---|---|
| Address | 1303 Dantignac St, Augusta, Georgia |
| Phone Number | 7067747760 |
| Fax Number | 7067747766 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790738904 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2015-12-09 |
Provider Mailing Address Detail
| Address | 1303 Dantignac St |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 3090127750 |
| Phone Number | 7067747760 |
| Fax Number | 7067747766 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 23041 |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique 10-digit identification code assigned to Kerry Chester Diver by the Centers for Medicare & Medicaid Services?
The Kerry Chester Diver has been issued the NPI (National Provider Identifier) 1790738904, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kerry Chester Diver?
The Kerry Chester Diver is situated at 1303 Dantignac St, in the city of Augusta, state of GA, with the zip code 3090127750.
What is Kerry Chester Diver's area of expertise and its corresponding taxonomy classification?
The Kerry Chester Diver's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1790738904 to Kerry Chester Diver?
The Kerry Chester Diver received its 1790738904 assignment from the Centers for Medicare & Medicaid Services on 2006-05-18.
When was the Kerry Chester Diver's information last updated?
The Kerry Chester Diver's information was last updated on 2015-12-09.