| Community Health Care Systems-twiggs | |
|
101 Watson Rd Ste B Jeffersonville GA 31044-5508 | |
| (478) 864-3448 | |
| (478) 864-1288 |
| Full Name | Community Health Care Systems-twiggs |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Watson Rd Ste B, Jeffersonville, Georgia |
| Authorized Official Name and Position | Lynn Price (INSURANCE AND BILLING MANAGER) |
| 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-twiggs Po Box 371 Wrightsville GA 31096-0371 Ph: (478) 864-3448 | Community Health Care Systems-twiggs 101 Watson Rd Ste B Jeffersonville GA 31044-5508 Ph: (478) 864-3448 |
| NPI Number | 1194996421 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/11/2021 |
| Medicare PECOS PAC ID | 5890783179 |
|---|---|
| Medicare Enrollment ID | O20041122000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194996421 | NPI | - | NPPES |
| 000521023D | Medicaid | GA | |
| 300029381A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Georgia) | Primary |
Community Health Care Systems Inc, Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 675 Bullard Rd, Jeffersonville, GA 31044 Phone: 478-945-6522 Fax: 478-864-1288 |