| Primary Health Care Center Of Dade, Inc. | |
|
118 E Girard Ave Cedartown GA 30125-2778 | |
| (706) 866-8820 | |
| (706) 866-5502 |
| Full Name | Primary Health Care Center Of Dade, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 118 E Girard Ave, Cedartown, Georgia |
| Authorized Official Name and Position | Diana U Allen (CEO) |
| Authorized Official Contact | 7069968251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Care Center Of Dade, Inc. 13570 N Main St Trenton GA 30752-2012 Ph: (706) 657-7575 | Primary Health Care Center Of Dade, Inc. 118 E Girard Ave Cedartown GA 30125-2778 Ph: (706) 866-8820 |
| NPI Number | 1952723298 |
|---|---|
| Provider Enumeration Date | 01/06/2014 |
| Last Update Date | 04/07/2014 |
| Medicare PECOS PAC ID | 0547272650 |
|---|---|
| Medicare Enrollment ID | O20140521000550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952723298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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