Primary Health Care Center Of Dade, Inc. | |
1250 Wilson Rd Rossville GA 30741-1736 | |
(706) 866-5520 | |
(706) 657-2958 |
Full Name | Primary Health Care Center Of Dade, Inc. |
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Speciality | Clinic/Center |
Location | 1250 Wilson Rd, Rossville, 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 |
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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. 1250 Wilson Rd Rossville GA 30741-1736 Ph: (706) 866-5520 |
NPI Number | 1134857162 |
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Provider Enumeration Date | 08/09/2022 |
Last Update Date | 08/09/2022 |
Medicare PECOS PAC ID | 0547272650 |
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Medicare Enrollment ID | O20230227001603 |
Identifier | Type | State | Issuer |
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1134857162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
International Cancer Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1989 N Highway 341, Rossville, GA 30741 Phone: 423-593-7525 Fax: 706-858-1287 | |
Primary Health Care Center Of Dade, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 316 Bull Dog Trl, Rossville, GA 30741 Phone: 706-866-5520 Fax: 706-657-2958 |