| Medcura Health, Inc. | |
|
1760 Candler Rd Decatur GA 30032-3254 | |
| (404) 286-2215 | |
| (404) 298-7658 |
| Full Name | Medcura Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1760 Candler Rd, Decatur, Georgia |
| Authorized Official Name and Position | Jeffery Q Taylor (CEO) |
| Authorized Official Contact | 4042988998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcura Health, Inc. 770 Village Square Dr Stone Mountain GA 30083-3380 Ph: (404) 298-8998 | Medcura Health, Inc. 1760 Candler Rd Decatur GA 30032-3254 Ph: (404) 286-2215 |
| NPI Number | 1790821023 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 06/05/2021 |
| Medicare PECOS PAC ID | 2961443643 |
|---|---|
| Medicare Enrollment ID | O20101117001633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790821023 | NPI | - | NPPES |
| 000446388D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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