| Cvcphc at Ebeneezer Middle School | |
|
1100 Ebenezer Rd Rincon GA 31326-3410 | |
| (912) 527-1000 | |
| (912) 527-1126 |
| Full Name | Cvcphc at Ebeneezer Middle School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1100 Ebenezer Rd, Rincon, Georgia |
| Authorized Official Name and Position | Earlene Joiner Daniels (CFO) |
| Authorized Official Contact | 9125271088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cvcphc at Ebeneezer Middle School 106 E Broad St Savannah GA 31401-2917 | Cvcphc at Ebeneezer Middle School 1100 Ebenezer Rd Rincon GA 31326-3410 Ph: (912) 527-1000 |
| NPI Number | 1356246433 |
|---|---|
| Provider Enumeration Date | 10/09/2026 |
| Last Update Date | 10/09/2026 |
| Certification Date | 10/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356246433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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