| Dooly County Community Health Center | |
|
1212 E Union St Vienna GA 31092-7545 | |
| (229) 268-8865 | |
| (229) 268-8864 |
| Full Name | Dooly County Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1212 E Union St, Vienna, Georgia |
| Authorized Official Name and Position | Shelley Spires (CEO) |
| Authorized Official Contact | 2298886559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dooly County Community Health Center Po Box 679 Vienna GA 31092-0679 Ph: (229) 268-8865 | Dooly County Community Health Center 1212 E Union St Vienna GA 31092-7545 Ph: (229) 268-8865 |
| NPI Number | 1306164082 |
|---|---|
| Provider Enumeration Date | 05/05/2010 |
| Last Update Date | 12/19/2018 |
| Medicare PECOS PAC ID | 7911811922 |
|---|---|
| Medicare Enrollment ID | O20110812000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306164082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Taylor Physicians Practice # 19 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1303 E Union St, Suite 102, Vienna, GA 31092 Phone: 229-268-8321 Fax: 229-268-8323 | |
Easy Healthcare Online Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1380 Us Highway 41, Vienna, GA 31092 Phone: 229-598-0595 Fax: 206-471-6113 |