| Lee Health Center | |
|
118 Robert B Lee Dr Leesburg GA 31763-2600 | |
| (229) 759-6508 | |
| (229) 759-9950 |
| Full Name | Lee Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 Robert B Lee Dr, Leesburg, 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 |
|---|---|
| Lee Health Center Po Box 542 Leesburg GA 31763-0542 Ph: (229) 759-6508 | Lee Health Center 118 Robert B Lee Dr Leesburg GA 31763-2600 Ph: (229) 759-6508 |
| NPI Number | 1568497030 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 06/21/2023 |
| Medicare PECOS PAC ID | 7911811922 |
|---|---|
| Medicare Enrollment ID | O20070426000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568497030 | NPI | - | NPPES |
| 000674737B | Medicaid | GA | |
| 000188537A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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