| Georgia Mountains Health Services, Inc. | |
|
80 Cinema Drive Ellijay GA 30540-2592 | |
| (706) 635-6898 | |
| (706) 635-6885 |
| Full Name | Georgia Mountains Health Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 80 Cinema Drive, Ellijay, Georgia |
| Authorized Official Name and Position | Steven Miracle (CEO) |
| Authorized Official Contact | 7069465610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Mountains Health Services, Inc. 165 Blue Ridge Overlook Blue Ridge GA 30513-4431 Ph: (706) 946-5607 | Georgia Mountains Health Services, Inc. 80 Cinema Drive Ellijay GA 30540-2592 Ph: (706) 635-6898 |
| NPI Number | 1396940029 |
|---|---|
| Provider Enumeration Date | 06/21/2007 |
| Last Update Date | 09/19/2024 |
| Medicare PECOS PAC ID | 7719974831 |
|---|---|
| Medicare Enrollment ID | O20111227000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396940029 | NPI | - | NPPES |
| 000236519B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
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