| Tmc Tallapoosa Family Healthcare Center | |
|
25 W Lyon St Tallapoosa GA 30176-1288 | |
| (770) 824-2800 | |
| (770) 824-2810 |
| Full Name | Tmc Tallapoosa Family Healthcare Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 W Lyon St, Tallapoosa, Georgia |
| Authorized Official Name and Position | Clint Hoffman (SR VP) |
| Authorized Official Contact | 7708388845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tmc Tallapoosa Family Healthcare Center 100 Greenway Blvd Fl 2 Carrollton GA 30117-4338 Ph: (770) 838-8710 | Tmc Tallapoosa Family Healthcare Center 25 W Lyon St Tallapoosa GA 30176-1288 Ph: (770) 824-2800 |
| NPI Number | 1497760243 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 0042129074 |
|---|---|
| Medicare Enrollment ID | O20030407000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497760243 | NPI | - | NPPES |
| 367607289B | Other | GA | CLINIC RENDERING NUMBER |
| 540960632A | Medicaid | GA | |
| CH7677 | Other | GA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Christian Council Of Haralson County Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 734 Bowdon St, Tallapoosa, GA 30176 Phone: 770-328-8360 |