| Primary Health Care Center Of Dade, Inc. | |
|
1400 Crane St Sw Rome GA 30161-6333 | |
| (706) 756-6133 | |
| (706) 657-2958 |
| Full Name | Primary Health Care Center Of Dade, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1400 Crane St Sw, Rome, Georgia |
| Authorized Official Name and Position | Amy Buffington (CREDENTIALING DIRECTOR) |
| Authorized Official Contact | 7066204494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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. 1400 Crane St Sw Rome GA 30161-6333 Ph: (706) 756-6133 |
| NPI Number | 1043965056 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043965056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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