| Tri-county Health System, Inc. | |
|
156 Alexander Street Crawfordville GA 30631-2800 | |
| (706) 456-2925 | |
| (706) 456-2224 |
| Full Name | Tri-county Health System, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 156 Alexander Street, Crawfordville, Georgia |
| Authorized Official Name and Position | Donna Newsome (CEO) |
| Authorized Official Contact | 7064653253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Health System, Inc. Po Box 312 Warrenton GA 30828-0312 Ph: (706) 465-3253 | Tri-county Health System, Inc. 156 Alexander Street Crawfordville GA 30631-2800 Ph: (706) 456-2925 |
| NPI Number | 1124294434 |
|---|---|
| Provider Enumeration Date | 05/06/2008 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124294434 | NPI | - | NPPES |
| 000215982E | Other | GA | MEDICAID FFS |
| 08BBSCL | Other | GA | MEDICARE FFS |
| 08BDFLS | Other | GA | MEDICARE FFS |
| 000302068K | Other | GA | MEDICAID FFS |
| 000471809C | Other | GA | MEDICAID FQHC |
| 08BDMNG | Other | GA | MEDICARE FFS |
| 000308228C | Other | GA | MEDICAID FFS |
| 000060387T | Other | GA | MEDICAID FFS |
| 08BDFZD | Other | GA | MEDICARE FFS |
| 980939645G | Other | GA | MEDICAID FFS |
| GRP1619 | Other | GA | MEDICARE FFS |
| 08BBWTQ | Other | GA | MEDICARE FFS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Community Health Care Systems, Inc-taliaferro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557a Broad St Nw, Crawfordville, GA 30631 Phone: 478-864-3448 Fax: 478-864-1288 |