| Curtis V. Cooper Primary Health Care, Inc | |
|
400 E Broad St Savannah GA 31401-5104 | |
| (912) 527-1000 | |
| Not Available |
| Full Name | Curtis V. Cooper Primary Health Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 E Broad St, Savannah, Georgia |
| Authorized Official Name and Position | Athelstane Seraphin (CIO) |
| Authorized Official Contact | 9125271130 |
| 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: () - | Curtis V. Cooper Primary Health Care, Inc 400 E Broad St Savannah GA 31401-5104 Ph: (912) 527-1000 |
| NPI Number | 1952941528 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 01/13/2020 |
| Medicare PECOS PAC ID | 4789667015 |
|---|---|
| Medicare Enrollment ID | O20201123001182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952941528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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