Primary Health Care Center Of Dade, Inc. | |
87 S Burnt Mill Rd La Fayette GA 30728-4263 | |
(706) 620-4494 | |
(706) 620-2379 |
Full Name | Primary Health Care Center Of Dade, Inc. |
---|---|
Speciality | Clinic/Center |
Location | 87 S Burnt Mill Rd, La Fayette, Georgia |
Authorized Official Name and Position | Diana Allen (CEO) |
Authorized Official Contact | 7066204494 |
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) 956-2665 | Primary Health Care Center Of Dade, Inc. 87 S Burnt Mill Rd La Fayette GA 30728-4263 Ph: (706) 620-4494 |
NPI Number | 1235505678 |
---|---|
Provider Enumeration Date | 08/20/2015 |
Last Update Date | 08/20/2015 |
Medicare PECOS PAC ID | 0547272650 |
---|---|
Medicare Enrollment ID | O20151231001307 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235505678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lafayette After Hours, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 E Villanow St, La Fayette, GA 30728 Phone: 423-495-4839 Fax: 423-495-7887 | |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1507 Broomtown Rd, La Fayette, GA 30728 Phone: 706-638-3559 | |
Mainstreet Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201b N Main St, La Fayette, GA 30728 Phone: 706-638-1506 Fax: 706-638-1507 | |
Primary Health Care Center Of Dade, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4038 E Highway 136, La Fayette, GA 30728 Phone: 706-866-5520 Fax: 706-657-2958 | |
Primary Health Care Center Of Dade, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 87 S Burnt Mill Rd, La Fayette, GA 30728 Phone: 706-620-4494 Fax: 706-657-2958 | |
Lafayette Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 N Main St, La Fayette, GA 30728 Phone: 706-638-5300 Fax: 706-638-5323 |