| Martin Luther King Jr. Elementary School-based Health Center | |
|
3125 Martin Luther King Jr Dr Albany GA 31701-4309 | |
| (229) 888-6650 | |
| (229) 434-1401 |
| Full Name | Martin Luther King Jr. Elementary School-based Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3125 Martin Luther King Jr Dr, 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 |
|---|---|
| Martin Luther King Jr. Elementary School-based Health Center 2408 Westgate Dr Albany GA 31707-2277 Ph: (229) 888-6559 | Martin Luther King Jr. Elementary School-based Health Center 3125 Martin Luther King Jr Dr Albany GA 31701-4309 Ph: (229) 888-6650 |
| NPI Number | 1699567297 |
|---|---|
| Provider Enumeration Date | 05/20/2025 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/20/2025 |
| Medicare PECOS PAC ID | 7911811922 |
|---|---|
| Medicare Enrollment ID | O20250906000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699567297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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