Care Medical Center Llc in Valdosta - Exclusive Provider Organization

Care Medical Center Llc - NPI 1063521250

Care Medical Center Llc is a Exclusive Provider Organization in Valdosta, Georgia. Care Medical Center Llc practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Care Medical Center Llc is 1063521250. The last update date is 2021-05-19.

Care Medical Center Llc's current location address is 2804 N Oak St, Valdosta, Georgia. You can contact this provider via phone number 2292418925 and fax number 2292417672. The mailing address for Care Medical Center Llc is 2804 N Oak St, Valdosta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Care Medical Center Llc
Address 2804 N Oak St, Valdosta, Georgia
Phone Number 2292418925
Fax Number 2292417672
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Moorman Ryan James
Credentials D.C.
Telephone Number 2292418925

NPI Number Detail

NPI Number 1063521250
Provider Enumeration Date 2006-08-30
Last Updated Date 2021-05-19

Provider Mailing Address Detail

Address 2804 N Oak St
City Valdosta
State Georgia (GA)
Post Code 316021716
Phone Number 2292418925
Fax Number 2292417672

Provider's Primary Taxonomy Detail

Speciality Exclusive Provider Organization
Taxonomy 302F00000X
Licence No 7773
Definition:
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GRP6935 GA MEDICARE GROUP

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FAQs about Care Medical Center Llc

What is the unique identification code assigned to Care Medical Center Llc by the Centers for Medicare & Medicaid Services?

The Care Medical Center Llc has been issued the NPI (National Provider Identifier) 1063521250. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Care Medical Center Llc?

The Care Medical Center Llc is physically situated at 2804 N Oak St, in the city of Valdosta, state of GA, with the postal code 316021716.

What is Care Medical Center Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Care Medical Center Llc's specialized field of practice is Exclusive Provider Organization, and the corresponding taxonomy code that categorizes this area of specialization is 302F00000X.

On what date did Care Medical Center Llc receive its 1063521250 assignment from the Centers for Medicare & Medicaid Services?

The Care Medical Center Llc was assigned its 1063521250 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Care Medical Center Llc most recently updated or revised?

The information pertaining to Care Medical Center Llc, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-19.

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