Medlink Colbert | |
11 Charlie Morris Rd Colbert GA 30628-2445 | |
(706) 788-2127 | |
Not Available |
Full Name | Medlink Colbert |
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Speciality | Clinic/Center |
Location | 11 Charlie Morris Rd, Colbert, Georgia |
Authorized Official Name and Position | David Ward (CEO) |
Authorized Official Contact | 7067883234 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medlink Colbert Po Box 459 Colbert GA 30628-0459 Ph: () - | Medlink Colbert 11 Charlie Morris Rd Colbert GA 30628-2445 Ph: (706) 788-2127 |
NPI Number | 1427156264 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 05/03/2022 |
Medicare PECOS PAC ID | 3274442850 |
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Medicare Enrollment ID | O20050506000147 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427156264 | NPI | - | NPPES |
000471765C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Medlink Georgia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 Charlie Morris Rd, Colbert, GA 30628 Phone: 706-788-3234 | |
Medlink Colbert Building 2 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628 Phone: 706-788-2127 |