| J C Lewis Primary Health Care Center Inc | |
|
1110 May St Savannah GA 31415-5470 | |
| (912) 495-8887 | |
| (912) 495-8881 |
| Full Name | J C Lewis Primary Health Care Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1110 May St, Savannah, Georgia |
| Authorized Official Name and Position | Laura Adams (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9124958887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J C Lewis Primary Health Care Center Inc 125 Fahm St Savannah GA 31401-2391 Ph: (912) 495-8887 | J C Lewis Primary Health Care Center Inc 1110 May St Savannah GA 31415-5470 Ph: (912) 495-8887 |
| NPI Number | 1588017412 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 07/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588017412 | NPI | - | NPPES |
| 003135130A | Medicaid | GA | |
| 111978 | Other | GA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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