| Careconnect Family Practice And Pediatrics | |
|
510 Alston St Ste A Richland GA 31825-6012 | |
| (229) 887-3324 | |
| (229) 887-2559 |
| Full Name | Careconnect Family Practice And Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 510 Alston St Ste A, Richland, 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 And Pediatrics Po Box 357 Richland GA 31825-0357 Ph: (229) 887-3324 | Careconnect Family Practice And Pediatrics 510 Alston St Ste A Richland GA 31825-6012 Ph: (229) 887-3324 |
| NPI Number | 1063422038 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 01/05/2021 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20060925000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063422038 | NPI | - | NPPES |
| 000219678A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Careconnect Health, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Alston St Ste B, Richland, GA 31825 Phone: 229-887-3324 Fax: 229-887-3919 |