| Community Health Care Systems, Inc-laurens | |
|
107 Fairview Park Dr Dublin GA 31021 | |
| (478) 272-3446 | |
| (478) 864-1288 |
| Full Name | Community Health Care Systems, Inc-laurens |
|---|---|
| Speciality | Clinic/Center |
| Location | 107 Fairview Park Dr, Dublin, Georgia |
| Authorized Official Name and Position | Carla W Belcher (CEO) |
| Authorized Official Contact | 4785521620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Care Systems, Inc-laurens 2251 W Elm St P O Box 371 Wrightsville GA 31096-2017 Ph: (478) 864-3448 | Community Health Care Systems, Inc-laurens 107 Fairview Park Dr Dublin GA 31021 Ph: (478) 272-3446 |
| NPI Number | 1336378892 |
|---|---|
| Provider Enumeration Date | 07/06/2009 |
| Last Update Date | 05/29/2018 |
| Medicare PECOS PAC ID | 5890783179 |
|---|---|
| Medicare Enrollment ID | O20100324000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336378892 | NPI | - | NPPES |
| 000521023H | Medicaid | GA | |
| 300029381A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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