| Medcura Health, Inc. | |
|
5910 Hillandale Dr Ste 102 Lithonia GA 30058-1877 | |
| (404) 400-9829 | |
| Not Available |
| Full Name | Medcura Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5910 Hillandale Dr Ste 102, Lithonia, Georgia |
| Authorized Official Name and Position | Jeff Taylor (CEO) |
| Authorized Official Contact | 4042983250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcura Health, Inc. 5582 Memorial Dr Stone Mountain GA 30083-3215 Ph: () - | Medcura Health, Inc. 5910 Hillandale Dr Ste 102 Lithonia GA 30058-1877 Ph: (404) 400-9829 |
| NPI Number | 1609374842 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 06/05/2021 |
| Medicare PECOS PAC ID | 2961443643 |
|---|---|
| Medicare Enrollment ID | O20180723000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609374842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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