| Diversity Health Center Inc | |
|
213 N Mcdonald St Ste A&b Ludowici GA 31316 | |
| (912) 545-9398 | |
| (912) 545-2747 |
| Full Name | Diversity Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 213 N Mcdonald St Ste A&b, Ludowici, 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 P.o. Box 1520 Hinesville GA 31310 Ph: (912) 545-9398 | Diversity Health Center Inc 213 N Mcdonald St Ste A&b Ludowici GA 31316 Ph: (912) 545-9398 |
| NPI Number | 1952584708 |
|---|---|
| Provider Enumeration Date | 12/14/2007 |
| Last Update Date | 06/12/2018 |
| Medicare PECOS PAC ID | 9638261910 |
|---|---|
| Medicare Enrollment ID | O20080114000708 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952584708 | NPI | - | NPPES |
| 023448459A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Diversity Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 N Mcdonald St Ste C, Ludowici, GA 31316 Phone: 912-545-9398 Fax: 912-545-2747 | |
Ludowici Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Mcdonald St, Ludowici, GA 31316 Phone: 912-545-9511 Fax: 912-545-9341 | |
Coastal Midwifery And Behavioral Health L L C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 Believers Ln Ne, Ludowici, GA 31316 Phone: 253-777-7501 | |
Ludowici Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 North Mcdonald Street, Ludowici, GA 31316 Phone: 912-545-9511 Fax: 912-545-9341 |