| East Georgia Healthcare Center, Inc. | |
|
117 Memorial Dr Reidsville GA 30453-4641 | |
| (912) 557-3300 | |
| (912) 557-3328 |
| Full Name | East Georgia Healthcare Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 Memorial Dr, Reidsville, Georgia |
| Authorized Official Name and Position | Jennie Wren Denmark (CEO) |
| Authorized Official Contact | 4782372638 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Georgia Healthcare Center, Inc. 215 N Coleman St Swainsboro GA 30401-3530 Ph: (478) 237-2638 | East Georgia Healthcare Center, Inc. 117 Memorial Dr Reidsville GA 30453-4641 Ph: (912) 557-3300 |
| NPI Number | 1093754905 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 07/31/2015 |
| Medicare PECOS PAC ID | 0547228686 |
|---|---|
| Medicare Enrollment ID | O20041221000771 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093754905 | NPI | - | NPPES |
| 000632376F | Medicaid | GA | |
| 111887 | Other | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Premise Health Of Georgia Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 E Brazell St, Reidsville, GA 30453 Phone: 912-557-1950 Fax: 912-557-1953 | |
Tattnall Hospital Company, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 Memorial Drive, Reidsville, GA 30453 Phone: 912-557-3434 Fax: 912-557-6760 | |
Tattnall Healthcare Llc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Memorial Dr, Reidsville, GA 30453 Phone: 912-557-3434 Fax: 912-557-6770 | |
Fortner Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S Main St, Reidsville, GA 30453 Phone: 912-394-1002 | |
Smg-occupational Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 E Brazell St, Reidsville, GA 30453 Phone: 912-557-1950 | |
Oh Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 257 S Main St, Reidsville, GA 30453 Phone: 912-557-4315 Fax: 912-557-3338 |