Baker County Primary Health Care | |
327-3 Sunset Ave Sw Newton GA 39870-7343 | |
(229) 734-5250 | |
(229) 734-5606 |
Full Name | Baker County Primary Health Care |
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Speciality | Clinic/Center |
Location | 327-3 Sunset Ave Sw, Newton, 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 |
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Baker County Primary Health Care 204 N Westover Blvd Albany GA 31707-2983 Ph: (229) 734-5250 | Baker County Primary Health Care 327-3 Sunset Ave Sw Newton GA 39870-7343 Ph: (229) 734-5250 |
NPI Number | 1184649329 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 10/15/2015 |
Medicare PECOS PAC ID | 7911811922 |
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Medicare Enrollment ID | O20050802000207 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184649329 | NPI | - | NPPES |
000188548A | Medicaid | GA | |
CK1477 | Other | GA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |