Christ Community Health Services Augusta, Inc | |
1238 Dantignac St Augusta GA 30901-2788 | |
(706) 922-0600 | |
Not Available |
Full Name | Christ Community Health Services Augusta, Inc |
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Speciality | Clinic/Center |
Location | 1238 Dantignac St, Augusta, Georgia |
Authorized Official Name and Position | Jacob Bostwick (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7063961474 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christ Community Health Services Augusta, Inc Po Box 2344 Augusta GA 30903-2344 Ph: (706) 922-0600 | Christ Community Health Services Augusta, Inc 1238 Dantignac St Augusta GA 30901-2788 Ph: (706) 922-0600 |
NPI Number | 1992448476 |
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Provider Enumeration Date | 04/14/2022 |
Last Update Date | 04/14/2022 |
Medicare PECOS PAC ID | 6608953633 |
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Medicare Enrollment ID | O20220601000295 |
Identifier | Type | State | Issuer |
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1992448476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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