| Careconnect Convenient Care | |
|
41 East Oglethorpe Street Ellaville GA 31806 | |
| (229) 937-9003 | |
| (229) 937-9007 |
| Full Name | Careconnect Convenient Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 41 East Oglethorpe Street, Ellaville, Georgia |
| Authorized Official Name and Position | Linda Young (SECRETARY) |
| Authorized Official Contact | 2292738881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnect Convenient Care 41 East Oglethorpe Street Ellaville GA 31806 Ph: (229) 937-9003 | Careconnect Convenient Care 41 East Oglethorpe Street Ellaville GA 31806 Ph: (229) 937-9003 |
| NPI Number | 1487036075 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 01/06/2020 |
| Certification Date | 01/06/2020 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20151002002528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487036075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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