| Aaphc Northwest Family Medical And Dental Center | |
|
2403 Osler Ct. Ste A Albany GA 31707-0205 | |
| (229) 405-6196 | |
| Not Available |
| Full Name | Aaphc Northwest Family Medical And Dental Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2403 Osler Ct., Albany, Georgia |
| Authorized Official Name and Position | Shelley Spires (CEO) |
| Authorized Official Contact | 2298886559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aaphc Northwest Family Medical And Dental Center 204 N Westover Blvd Albany GA 31707-2983 Ph: (229) 888-6559 | Aaphc Northwest Family Medical And Dental Center 2403 Osler Ct. Ste A Albany GA 31707-0205 Ph: (229) 405-6196 |
| NPI Number | 1700360435 |
|---|---|
| Provider Enumeration Date | 09/19/2018 |
| Last Update Date | 09/25/2018 |
| Medicare PECOS PAC ID | 7911811922 |
|---|---|
| Medicare Enrollment ID | O20181217003248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700360435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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