| Mckinney Community Health Ctr, Inc | |
|
253 Georgia Avenue St George GA 31537-9687 | |
| (912) 843-2124 | |
| (912) 287-0687 |
| Full Name | Mckinney Community Health Ctr, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 253 Georgia Avenue, St George, Georgia |
| Authorized Official Name and Position | Ola Smith (CEO) |
| Authorized Official Contact | 9122870304 |
| 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 253 Georgia Avenue St George GA 31537-9687 Ph: (912) 843-2124 |
| NPI Number | 1306009576 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306009576 | NPI | - | NPPES |
| 336242 | Other | GA | WELLCARE |
| 10066125 | Other | GA | AMERIGROUP |
| 000715415D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |