| Christ Community Health Services Augusta, Inc | |
|
127 Telfair St Augusta GA 30901-2590 | |
| (706) 922-0600 | |
| (706) 922-0604 |
| Full Name | Christ Community Health Services Augusta, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 127 Telfair St, Augusta, Georgia |
| Authorized Official Name and Position | Jacob Dean Bostwick (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 7069220600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christ Community Health Services Augusta, Inc Po Box 2344 Augusta GA 30903-2344 Ph: (706) 922-0600 | Christ Community Health Services Augusta, Inc 127 Telfair St Augusta GA 30901-2590 Ph: (706) 922-0600 |
| NPI Number | 1043568264 |
|---|---|
| Provider Enumeration Date | 08/20/2012 |
| Last Update Date | 02/15/2019 |
| Medicare PECOS PAC ID | 6608953633 |
|---|---|
| Medicare Enrollment ID | O20121001000449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043568264 | NPI | - | NPPES |
| 003127076A | Medicaid | GA | |
| FQC119 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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