| Medlink Habersham | |
|
396 Historic Hwy 441 N Demorest GA 30535-4522 | |
| (706) 754-4348 | |
| Not Available |
| Full Name | Medlink Habersham |
|---|---|
| Speciality | Clinic/Center |
| Location | 396 Historic Hwy 441 N, Demorest, 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 |
|---|---|
| Medlink Habersham Po Box 459 Colbert GA 30628-0459 Ph: (706) 788-3234 | Medlink Habersham 396 Historic Hwy 441 N Demorest GA 30535-4522 Ph: (706) 754-4348 |
| NPI Number | 1851722524 |
|---|---|
| Provider Enumeration Date | 12/06/2013 |
| Last Update Date | 05/03/2022 |
| Medicare PECOS PAC ID | 3274442850 |
|---|---|
| Medicare Enrollment ID | O20140319001068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851722524 | NPI | - | NPPES |
| 003141329A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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