| Mckinney Community Health Ctr, Inc | |
|
623 Sycamore St Blackshear GA 31516-2119 | |
| (912) 449-3294 | |
| (912) 287-1568 |
| Full Name | Mckinney Community Health Ctr, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 623 Sycamore St, Blackshear, Georgia |
| Authorized Official Name and Position | Ola Smith (CEO) |
| Authorized Official Contact | 9122870301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckinney Community Health Ctr, Inc 218 Quarterman St Waycross GA 31501-3547 Ph: (912) 287-0301 | Mckinney Community Health Ctr, Inc 623 Sycamore St Blackshear GA 31516-2119 Ph: (912) 449-3294 |
| NPI Number | 1568623346 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 10/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568623346 | NPI | - | NPPES |
| 10066125 | Other | GA | AMERIGROUP |
| 336245 | Other | GA | WELLCARE |
| 000715415C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Restor Metabolix Of Blackshear Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3345 Us Highway 84 Ste 102, Blackshear, GA 31516 Phone: 912-208-3581 | |
Blackshear Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 E Carter Ave, Blackshear, GA 31516 Phone: 912-449-1501 Fax: 912-449-1517 | |
Appling Healthcare Group Of Blackshear Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3345 Us Highway 84 Ste 102, Blackshear, GA 31516 Phone: 912-705-4910 Fax: 912-705-4911 | |
B Well Family Practice, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3343 Us Highway 84 Ste 103, Blackshear, GA 31516 Phone: 912-807-9355 Fax: 912-514-1222 |