| East Georgia Healthcare Center, Inc. | |
|
34 Nw Broad St Metter GA 30439-4025 | |
| (912) 685-4040 | |
| (912) 685-4041 |
| Full Name | East Georgia Healthcare Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 34 Nw Broad St, Metter, Georgia |
| Authorized Official Name and Position | Jennie Wren C. Denmark (CEO) |
| Authorized Official Contact | 4782376262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Georgia Healthcare Center, Inc. 215 N Coleman St Swainsboro GA 30401-3530 Ph: (478) 237-6262 | East Georgia Healthcare Center, Inc. 34 Nw Broad St Metter GA 30439-4025 Ph: (912) 685-4040 |
| NPI Number | 1821270323 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 02/03/2017 |
| Medicare PECOS PAC ID | 0547228686 |
|---|---|
| Medicare Enrollment ID | O20080107000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821270323 | NPI | - | NPPES |
| 000632376H | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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