Community Health Care Systems, Inc-telfair | |
280 E Willow Creek Ln Mc Rae GA 31055 | |
(478) 864-3448 | |
(478) 864-1288 |
Full Name | Community Health Care Systems, Inc-telfair |
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Speciality | Clinic/Center |
Location | 280 E Willow Creek Ln, Mc Rae, 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 |
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Community Health Care Systems, Inc-telfair 82 Parsonage St Mc Rae GA 31055-4509 Ph: (229) 860-4117 | Community Health Care Systems, Inc-telfair 280 E Willow Creek Ln Mc Rae GA 31055 Ph: (478) 864-3448 |
NPI Number | 1568806297 |
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Provider Enumeration Date | 04/24/2013 |
Last Update Date | 05/29/2018 |
Medicare PECOS PAC ID | 5890783179 |
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Medicare Enrollment ID | O20131113002115 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568806297 | NPI | - | NPPES |
003144750A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Georgia) | Primary |
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