Medcura Health, Inc. | |
3630 Shallowford Rd Ne Doraville GA 30340-1019 | |
(404) 298-8998 | |
Not Available |
Full Name | Medcura Health, Inc. |
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Speciality | Clinic/Center |
Location | 3630 Shallowford Rd Ne, Doraville, Georgia |
Authorized Official Name and Position | Billie Inclan (DIRECTOR OF HR) |
Authorized Official Contact | 4045649345 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medcura Health, Inc. 5582 Memorial Dr Stone Mountain GA 30083-3215 Ph: (404) 298-8998 | Medcura Health, Inc. 3630 Shallowford Rd Ne Doraville GA 30340-1019 Ph: (404) 298-8998 |
NPI Number | 1790442630 |
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Provider Enumeration Date | 11/28/2021 |
Last Update Date | 06/24/2022 |
Medicare PECOS PAC ID | 2961443643 |
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Medicare Enrollment ID | O20220603000154 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790442630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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