| Tricounty Health System-warrenton | |
|
1008 Atlanta Hwy Warrenton GA 30828-0312 | |
| (706) 465-3253 | |
| (478) 864-1288 |
| Full Name | Tricounty Health System-warrenton |
|---|---|
| Speciality | Clinic/Center |
| Location | 1008 Atlanta Hwy, Warrenton, Georgia |
| Authorized Official Name and Position | Carla W Belcher (CEO) |
| Authorized Official Contact | 4785527384 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricounty Health System-warrenton Po Box 371 2251 West Elm Street Wrightsville GA 31096-0371 Ph: (478) 864-3448 | Tricounty Health System-warrenton 1008 Atlanta Hwy Warrenton GA 30828-0312 Ph: (706) 465-3253 |
| NPI Number | 1376535278 |
|---|---|
| Provider Enumeration Date | 08/17/2005 |
| Last Update Date | 11/06/2014 |
| Medicare PECOS PAC ID | 5890783179 |
|---|---|
| Medicare Enrollment ID | O20141117000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376535278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Warrenton Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Main Street, Warrenton, GA 30828 Phone: 706-465-3800 Fax: 706-465-3804 |