Clay County Medical Center, Pc | |
305 Washington St S Fort Gaines GA 39851-4315 | |
(229) 768-3888 | |
(229) 768-3889 |
Full Name | Clay County Medical Center, Pc |
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Speciality | Internal Medicine |
Location | 305 Washington St S, Fort Gaines, Georgia |
Authorized Official Name and Position | Karen S Kinsell (PRESIDENT) |
Authorized Official Contact | 2297683888 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clay County Medical Center, Pc Po Box 281 Fort Gaines GA 39851-0281 Ph: (229) 768-3888 | Clay County Medical Center, Pc 305 Washington St S Fort Gaines GA 39851-4315 Ph: (229) 768-3888 |
NPI Number | 1508923210 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 03/01/2018 |
Medicare PECOS PAC ID | 7618001215 |
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Medicare Enrollment ID | O20100818000769 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508923210 | NPI | - | NPPES |
000720189F | Medicaid | GA | |
11D0950627 | Other | GA | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Georgia) | Primary |
Provider Name | Karen S Kinsell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750464855 PECOS PAC ID: 5395737134 Enrollment ID: I20040401000010 |
Ft Gaines Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Hartford Rd E, Fort Gaines, GA 39851 Phone: 229-768-2633 Fax: 229-768-2263 | |
Clay County Community Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Washington St S, Fort Gaines, GA 39851 Phone: 229-768-3889 | |
Albany Area Primary Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Hobbs Ln, Fort Gaines, GA 39851 Phone: 229-394-4424 Fax: 229-394-4425 |