| Georgetown Community Clinic | |
|
701 E University Ave Georgetown TX 78626-7035 | |
| (512) 863-8208 | |
| (512) 864-7238 |
| Full Name | Georgetown Community Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 701 E University Ave, Georgetown, Texas |
| Authorized Official Name and Position | Peter C Perialas (CEO) |
| Authorized Official Contact | 5128681124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Community Clinic 205 E University Ave Suite 200 Georgetown TX 78626-6814 Ph: (512) 868-1124 | Georgetown Community Clinic 701 E University Ave Georgetown TX 78626-7035 Ph: (512) 863-8208 |
| NPI Number | 1750331963 |
|---|---|
| Provider Enumeration Date | 05/10/2006 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750331963 | NPI | - | NPPES |
| 1560575-05 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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