| The Family Health Center @ Cobb | |
|
805 Campbell Hill St Nw Marietta GA 30060-1144 | |
| (770) 919-0025 | |
| (678) 569-0228 |
| Full Name | The Family Health Center @ Cobb |
|---|---|
| Speciality | Clinic/Center |
| Location | 805 Campbell Hill St Nw, Marietta, Georgia |
| Authorized Official Name and Position | Michael W Brooks (CEO) |
| Authorized Official Contact | 4047521400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Family Health Center @ Cobb 805 Campbell Hill St Nw Marietta GA 30060-1144 Ph: (770) 919-0025 | The Family Health Center @ Cobb 805 Campbell Hill St Nw Marietta GA 30060-1144 Ph: (770) 919-0025 |
| NPI Number | 1285727396 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 02/01/2023 |
| Medicare PECOS PAC ID | 2062406903 |
|---|---|
| Medicare Enrollment ID | O20110317000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285727396 | NPI | - | NPPES |
| 000437478J | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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