| Community Health Care Systems, Inc-baldwin County | |
|
102a Airport Road Ne Milledgeville GA 31061-9313 | |
| (478) 864-3448 | |
| (478) 864-1288 |
| Full Name | Community Health Care Systems, Inc-baldwin County |
|---|---|
| Speciality | Clinic/Center |
| Location | 102a Airport Road Ne, Milledgeville, Georgia |
| Authorized Official Name and Position | Carla W Belcher (CEO) |
| Authorized Official Contact | 4788643448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Care Systems, Inc-baldwin County 2251 W Elm St P O Box 371 Wrightsville GA 31096-2017 Ph: (478) 864-3448 | Community Health Care Systems, Inc-baldwin County 102a Airport Road Ne Milledgeville GA 31061-9313 Ph: (478) 864-3448 |
| NPI Number | 1790153997 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 10/24/2015 |
| Medicare PECOS PAC ID | 5890783179 |
|---|---|
| Medicare Enrollment ID | O20151209000205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790153997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Georgia) | Primary |
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