| East Georgia Healthcare Center, Inc. | |
|
118 Alice Coleman Dr Vidalia GA 30474-8860 | |
| (912) 537-6565 | |
| (912) 537-6161 |
| Full Name | East Georgia Healthcare Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 Alice Coleman Dr, Vidalia, Georgia |
| Authorized Official Name and Position | Jill R Sorrells (CFO) |
| Authorized Official Contact | 4782376262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Georgia Healthcare Center, Inc. 215 N Coleman St Swainsboro GA 30401-3530 Ph: (478) 237-6262 | East Georgia Healthcare Center, Inc. 118 Alice Coleman Dr Vidalia GA 30474-8860 Ph: (912) 537-6565 |
| NPI Number | 1790924918 |
|---|---|
| Provider Enumeration Date | 02/11/2009 |
| Last Update Date | 08/26/2015 |
| Medicare PECOS PAC ID | 0547228686 |
|---|---|
| Medicare Enrollment ID | O20090409000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790924918 | NPI | - | NPPES |
| 000632376L | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Darby Dental Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Jackson St, Vidalia, GA 30474 Phone: 912-537-3377 Fax: 912-538-7010 | |
Dental Center Of Vidalia Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1209 East First Street, Vidalia, GA 30474 Phone: 912-537-7048 | |
Vidalia Dental Associates,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1618 Meadows Lane, Vidalia, GA 30475 Phone: 912-537-2238 Fax: 912-537-0979 | |
Toombs County Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 Maple Dr, Vidalia, GA 30474 Phone: 912-538-7899 | |
Hugh F. Jordan, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Durden St, Vidalia, GA 30474 Phone: 912-537-7211 Fax: 912-537-1011 | |
Darby Dental Services Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Jackson St, Vidalia, GA 30474 Phone: 912-537-3377 Fax: 912-538-7010 |