| Curtis V. Cooper Primary Health Care Inc. | |
|
244 Ledford Street Pembroke GA 31321-3140 | |
| (912) 527-1100 | |
| Not Available |
| Full Name | Curtis V. Cooper Primary Health Care Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 244 Ledford Street, Pembroke, Georgia |
| Authorized Official Name and Position | Earlene Joiner Daniels (CEO) |
| Authorized Official Contact | 9125271088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Curtis V. Cooper Primary Health Care Inc. 106 E Broad St Savannah GA 31401-2917 Ph: (912) 527-1100 | Curtis V. Cooper Primary Health Care Inc. 244 Ledford Street Pembroke GA 31321-3140 Ph: (912) 527-1100 |
| NPI Number | 1841804598 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 04/30/2021 |
| Medicare PECOS PAC ID | 4789667015 |
|---|---|
| Medicare Enrollment ID | O20210205001250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841804598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Sjc Medical Group - Pembroke Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 159 West Railroad St, Pembroke, GA 31321 Phone: 912-653-2897 Fax: 912-653-4299 | |
Community Primary & Urgent Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 244 Ledford Street, Pembroke, GA 31321 Phone: 912-653-4357 |