| Primary Health Care Center Of Dade, Inc. | |
|
316 Bull Dog Trl Rossville GA 30741-6336 | |
| (706) 866-5520 | |
| (706) 657-2958 |
| Full Name | Primary Health Care Center Of Dade, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 316 Bull Dog Trl, 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 |
|---|---|
| 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. 316 Bull Dog Trl Rossville GA 30741-6336 Ph: (706) 866-5520 |
| NPI Number | 1780312710 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 08/09/2022 |
| Medicare PECOS PAC ID | 0547272650 |
|---|---|
| Medicare Enrollment ID | O20221221001624 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780312710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Primary Health Care Center Of Dade, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1250 Wilson Rd, Rossville, GA 30741 Phone: 706-866-5520 Fax: 706-657-2958 | |
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 |