Curtis V. Cooper Primary Health Care, Inc. | |
907 E 67th St Savannah GA 31405-4612 | |
(912) 527-1101 | |
(912) 527-1155 |
Full Name | Curtis V. Cooper Primary Health Care, Inc. |
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Speciality | Clinic/Center |
Location | 907 E 67th St, Savannah, Georgia |
Authorized Official Name and Position | Earlene Joiner Daniels (CFO) |
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) 527-1100 | Curtis V. Cooper Primary Health Care, Inc. 907 E 67th St Savannah GA 31405-4612 Ph: (912) 527-1101 |
NPI Number | 1295423473 |
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Provider Enumeration Date | 04/26/2023 |
Last Update Date | 04/26/2023 |
Medicare PECOS PAC ID | 4789667015 |
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Medicare Enrollment ID | O20231025003274 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295423473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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