Curtis V. Cooper Primary Health Care, Inc | |
4451 Paulsen St Savannah GA 31405-3664 | |
(912) 527-1005 | |
(912) 527-1126 |
Full Name | Curtis V. Cooper Primary Health Care, Inc |
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Speciality | Clinic/Center |
Location | 4451 Paulsen St, Savannah, Georgia |
Authorized Official Name and Position | Earlene Joiner Daniels (CHIEF ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 9125271088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Curtis V. Cooper Primary Health Care, Inc 106 E Broad St Savannah GA 31401-2917 Ph: (912) 527-1000 | Curtis V. Cooper Primary Health Care, Inc 4451 Paulsen St Savannah GA 31405-3664 Ph: (912) 527-1005 |
NPI Number | 1053675132 |
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Provider Enumeration Date | 07/03/2012 |
Last Update Date | 04/08/2024 |
Medicare PECOS PAC ID | 4789667015 |
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Medicare Enrollment ID | O20210208001788 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053675132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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