| Alice Coachman Elementary School-based Health Center | |
|
1425 W Oakridge Dr Albany GA 31707-5306 | |
| (229) 432-6233 | |
| (229) 432-9568 |
| Full Name | Alice Coachman Elementary School-based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1425 W Oakridge Dr, 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 |
|---|---|
| Alice Coachman Elementary School-based Health Center 204 N Westover Blvd Albany GA 31707-2983 Ph: (229) 888-6559 | Alice Coachman Elementary School-based Health Center 1425 W Oakridge Dr Albany GA 31707-5306 Ph: (229) 432-6233 |
| NPI Number | 1003287731 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 06/30/2016 |
| Medicare PECOS PAC ID | 7911811922 |
|---|---|
| Medicare Enrollment ID | O20151209002055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003287731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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