| Careconnect Convenient Care | |
|
130 N Lee St Forsyth GA 31029-2122 | |
| (478) 974-6080 | |
| (478) 974-9002 |
| Full Name | Careconnect Convenient Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 N Lee St, Forsyth, Georgia |
| Authorized Official Name and Position | Linda Young (EXECUTIVE 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 Po Box 5610 Cordele GA 31010-5610 Ph: (229) 273-8881 | Careconnect Convenient Care 130 N Lee St Forsyth GA 31029-2122 Ph: (478) 974-6080 |
| NPI Number | 1467092221 |
|---|---|
| Provider Enumeration Date | 01/09/2020 |
| Last Update Date | 05/13/2022 |
| Certification Date | 05/13/2022 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20200304000475 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467092221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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