Curtis V. Cooper Primary Health Care, Inc | |
2 Roberts Street Savannah GA 31408-3524 | |
(912) 527-1100 | |
(912) 527-1153 |
Full Name | Curtis V. Cooper Primary Health Care, Inc |
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Speciality | Clinic/Center |
Location | 2 Roberts Street, 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 East Broad Street Savannah GA 31401-2917 Ph: (912) 527-1000 | Curtis V. Cooper Primary Health Care, Inc 2 Roberts Street Savannah GA 31408-3524 Ph: (912) 527-1100 |
NPI Number | 1316972599 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 01/27/2020 |
Medicare PECOS PAC ID | 4789667015 |
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Medicare Enrollment ID | O20091015000613 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316972599 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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