Bartow Family Health Center | |
775 West Ave Suite A Cartersville GA 30120-3481 | |
(770) 887-1668 | |
(770) 887-3462 |
Full Name | Bartow Family Health Center |
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Speciality | Clinic/Center |
Location | 775 West Ave, Cartersville, Georgia |
Authorized Official Name and Position | Todd Shifflet (CEO) |
Authorized Official Contact | 7708871668 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bartow Family Health Center Po Box 307 Cumming GA 30028-0307 Ph: (770) 887-1668 | Bartow Family Health Center 775 West Ave Suite A Cartersville GA 30120-3481 Ph: (770) 887-1668 |
NPI Number | 1407281058 |
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Provider Enumeration Date | 09/13/2013 |
Last Update Date | 05/09/2022 |
Medicare PECOS PAC ID | 5890682017 |
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Medicare Enrollment ID | O20131231000801 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407281058 | NPI | - | NPPES |
300022400A | Medicaid | GA | |
003146289A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Georgia) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Laura Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245779081 PECOS PAC ID: 6204288087 Enrollment ID: I20240117002227 |
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