| Careconnect Family Practice | |
|
109 S 3rd St Cochran GA 31014-6718 | |
| (478) 934-4988 | |
| (478) 934-4989 |
| Full Name | Careconnect Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 S 3rd St, Cochran, Georgia |
| Authorized Official Name and Position | Linda Young (SECRETARY) |
| Authorized Official Contact | 2292738881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnect Family Practice P.o. Box 5610 Cordele GA 31010-1514 Ph: (478) 934-4988 | Careconnect Family Practice 109 S 3rd St Cochran GA 31014-6718 Ph: (478) 934-4988 |
| NPI Number | 1598089658 |
|---|---|
| Provider Enumeration Date | 03/18/2010 |
| Last Update Date | 04/14/2020 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20100621000450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598089658 | NPI | - | NPPES |
| 747736056A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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