| Primary Health Care Center Of Dade, Inc. | |
|
10 Probasco St Unit 214 La Fayette GA 30728-2316 | |
| (706) 719-0888 | |
| (706) 657-5885 |
| Full Name | Primary Health Care Center Of Dade, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Probasco St Unit 214, La Fayette, Georgia |
| Authorized Official Name and Position | Amy Buffington (CREDENTIALING DIRECTOR) |
| 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. 10 Probasco St Unit 214 La Fayette GA 30728-2316 Ph: (706) 719-0888 |
| NPI Number | 1891395620 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 12/10/2020 |
| Medicare PECOS PAC ID | 0547272650 |
|---|---|
| Medicare Enrollment ID | O20210212000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891395620 | 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: Medicare Enrolled Practice Location: 87 S Burnt Mill Rd, La Fayette, GA 30728 Phone: 706-620-4494 Fax: 706-620-2379 | |
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 |