| Albany Middle School-based Health Center | |
|
1700 Cordell Ave Albany GA 31705-1497 | |
| (229) 405-6235 | |
| (229) 432-1198 |
| Full Name | Albany Middle School-based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1700 Cordell Ave, Albany, Georgia |
| Authorized Official Name and Position | Shelley Spires (CEO) |
| Authorized Official Contact | 2298886559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albany Middle School-based Health Center 204 N Westover Blvd Albany GA 31707-2983 Ph: (229) 888-6559 | Albany Middle School-based Health Center 1700 Cordell Ave Albany GA 31705-1497 Ph: (229) 405-6235 |
| NPI Number | 1902277635 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 06/30/2016 |
| Medicare PECOS PAC ID | 7911811922 |
|---|---|
| Medicare Enrollment ID | O20151210002711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902277635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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