| Diversity Health Center Inc | |
|
303 Fraser Dr Hinesville GA 31313 | |
| (912) 877-2227 | |
| (912) 877-2332 |
| Full Name | Diversity Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 303 Fraser Dr, Hinesville, Georgia |
| Authorized Official Name and Position | Stephanie Jones-theaker (CEO) |
| Authorized Official Contact | 9123183947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversity Health Center Inc Po Box 1520 Hinesville GA 31310-8520 Ph: (912) 877-2227 | Diversity Health Center Inc 303 Fraser Dr Hinesville GA 31313 Ph: (912) 877-2227 |
| NPI Number | 1720108590 |
|---|---|
| Provider Enumeration Date | 03/29/2007 |
| Last Update Date | 06/12/2018 |
| Medicare PECOS PAC ID | 9638261910 |
|---|---|
| Medicare Enrollment ID | O20130429000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720108590 | NPI | - | NPPES |
| 179704037A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Jeannine Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467961623 PECOS PAC ID: 9739448465 Enrollment ID: I20180125001284 |
Allied Health Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 790 Frank Cochran Dr, Suite 111, Hinesville, GA 31313 Phone: 912-368-3868 | |
Hinesville Faimly Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 East General Stewart Way Suite A, Hinesville, GA 31313 Phone: 912-368-4169 Fax: 478-625-3667 | |
Liberty Regional Medical Center-walk-in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 462 Elma G Miles Pkwy, Hinesville, GA 31313 Phone: 912-369-9310 Fax: 912-877-3102 | |
Bryan Medical Associates,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 740 E General Stewart Way, Suite 103, Hinesville, GA 31313 Phone: 912-876-5452 | |
Hinesville Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 E General Stewart Way, Hinesville, GA 31313 Phone: 912-368-4169 Fax: 912-368-5667 | |
Diversity Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 E General Stewart Way Ste A, Hinesville, GA 31313 Phone: 912-318-3947 Fax: 912-877-0189 | |
Liberty Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 455 S.main Street Ste 104, Hinesville, GA 31313 Phone: 912-876-5644 Fax: 912-408-3457 |