| Athens Model Neighborhood Health Center Inc | |
|
675 College Ave Athens GA 30601 | |
| (706) 546-5526 | |
| (706) 546-5687 |
| Full Name | Athens Model Neighborhood Health Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 675 College Ave, Athens, Georgia |
| Authorized Official Name and Position | Linda M Cherry (HUMAN RESOURCE DIRECTOR) |
| Authorized Official Contact | 7624996960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Athens Model Neighborhood Health Center Inc 675 College Ave Athens GA 30601-2635 Ph: (706) 546-5526 | Athens Model Neighborhood Health Center Inc 675 College Ave Athens GA 30601 Ph: (706) 546-5526 |
| NPI Number | 1093932683 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/07/2023 |
| Medicare PECOS PAC ID | 0042291270 |
|---|---|
| Medicare Enrollment ID | O20120918000596 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093932683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | () | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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