| Curtis V. Cooper Primary Health Care,inc | |
|
840a Hitch Drive Savannah GA 31401-3040 | |
| (912) 232-9696 | |
| (912) 527-1153 |
| Full Name | Curtis V. Cooper Primary Health Care,inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 840a Hitch Drive, Savannah, Georgia |
| Authorized Official Name and Position | Leon L. Burton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9125271000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 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 840a Hitch Drive Savannah GA 31401-3040 Ph: (912) 232-9696 |
| NPI Number | 1619167749 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619167749 | NPI | - | NPPES |
| 000463922C | Medicaid | GA | |
| 336179 | Other | GA | WELLCARE |
| 10063424 | Other | GA | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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