| Careconnect Health, Inc. | |
|
636 2nd Avenue, Sw Rochelle GA 31079-2046 | |
| (229) 365-2570 | |
| (229) 365-2571 |
| Full Name | Careconnect Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 636 2nd Avenue, Sw, Rochelle, 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 Health, Inc. P.o. Box 5610 Cordele GA 31010-1514 Ph: (229) 273-8881 | Careconnect Health, Inc. 636 2nd Avenue, Sw Rochelle GA 31079-2046 Ph: (229) 365-2570 |
| NPI Number | 1144401787 |
|---|---|
| Provider Enumeration Date | 11/26/2007 |
| Last Update Date | 01/06/2020 |
| Medicare PECOS PAC ID | 7810980794 |
|---|---|
| Medicare Enrollment ID | O20071220000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144401787 | NPI | - | NPPES |
| 654828836A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Crisp Regional Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 Second Avenue, Sw, Rochelle, GA 31079 Phone: 229-365-2570 Fax: 229-365-2571 |