| Diversity Health Center Inc. | |
|
244 Peachtree St Jesup GA 31545-0212 | |
| (912) 877-2227 | |
| (912) 877-2332 |
| Full Name | Diversity Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 244 Peachtree St, Jesup, Georgia |
| Authorized Official Name and Position | Stephanie Jones-heath (CEO) |
| Authorized Official Contact | 9123183947 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversity Health Center Inc. 244 Peachtree St Jesup GA 31545-0212 Ph: (912) 877-2227 | Diversity Health Center Inc. 244 Peachtree St Jesup GA 31545-0212 Ph: (912) 877-2227 |
| NPI Number | 1518508613 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 10/01/2019 |
| Medicare PECOS PAC ID | 9638261910 |
|---|---|
| Medicare Enrollment ID | O20200206001880 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518508613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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