| Bhg Xliv, Llc | |
|
2607 Ledo Rd Albany GA 31707-1211 | |
| (229) 903-0022 | |
| Not Available |
| Full Name | Bhg Xliv, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2607 Ledo Rd, Albany, Georgia |
| Authorized Official Name and Position | Jemece Michelle Gasaway (DIRECTOR OF LICENSING) |
| Authorized Official Contact | 2143656126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Xliv, Llc 5001 Spring Valley Rd Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Bhg Xliv, Llc 2607 Ledo Rd Albany GA 31707-1211 Ph: (229) 903-0022 |
| NPI Number | 1568908077 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 5395170856 |
|---|---|
| Medicare Enrollment ID | O20200110002626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568908077 | NPI | - | NPPES |
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