| Careconnect Family Practice | |
|
298 Us Hwy 520 Cusseta GA 31805-3602 | |
| (706) 989-1050 | |
| (706) 989-1051 |
| Full Name | Careconnect Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 298 Us Hwy 520, Cusseta, 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 31015-1514 Ph: (706) 989-1050 | Careconnect Family Practice 298 Us Hwy 520 Cusseta GA 31805-3602 Ph: (706) 989-1050 |
| NPI Number | 1679689558 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 01/06/2020 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20060920000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679689558 | NPI | - | NPPES |
| 954713219A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Careconnect School Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Merrell St, Cusseta, GA 31805 Phone: 706-989-1365 Fax: 706-989-1366 |