| Mcg Health, Inc | |
|
1120 15th St Augusta GA 30912-0004 | |
| (706) 721-0211 | |
| Not Available |
| Full Name | Mcg Health, Inc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1120 15th St, Augusta, Georgia |
| Authorized Official Name and Position | Donald Snell (PRESIDENT AND CEO) |
| Authorized Official Contact | 7067210211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcg Health, Inc 1120 15th St Augusta GA 30912-0004 Ph: (706) 721-0211 | Mcg Health, Inc 1120 15th St Augusta GA 30912-0004 Ph: (706) 721-0211 |
| NPI Number | 1992986293 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992986293 | NPI | - | NPPES |
| 358127 | Medicaid | SC | |
| 000418 | Other | BLUE CROSS | |
| 00000723A | Medicaid | GA | |
| 315846 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 011-104 (Georgia) | Primary |
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