| Christ Community Health Services Augusta, Inc | |
|
2604 Peach Orchard Rd Ste 200 Augusta GA 30906-2406 | |
| (706) 922-0600 | |
| Not Available |
| Full Name | Christ Community Health Services Augusta, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2604 Peach Orchard Rd Ste 200, Augusta, Georgia |
| Authorized Official Name and Position | Jacob Bostwick (CFO) |
| Authorized Official Contact | 7063961474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christ Community Health Services Augusta, Inc Po Box 2344 Augusta GA 30903-2344 Ph: () - | Christ Community Health Services Augusta, Inc 2604 Peach Orchard Rd Ste 200 Augusta GA 30906-2406 Ph: (706) 922-0600 |
| NPI Number | 1073192985 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 04/07/2021 |
| Medicare PECOS PAC ID | 6608953633 |
|---|---|
| Medicare Enrollment ID | O20210708000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073192985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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