| East Georgia Healthcare Center Inc | |
|
257 N Main St Wadley GA 30477 | |
| (478) 252-0027 | |
| Not Available |
| Full Name | East Georgia Healthcare Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 257 N Main St, Wadley, Georgia |
| Authorized Official Name and Position | Jill R Sorrells (CFO) |
| Authorized Official Contact | 4782376262 |
| 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) 237-6262 | East Georgia Healthcare Center Inc 257 N Main St Wadley GA 30477 Ph: (478) 252-0027 |
| NPI Number | 1346625928 |
|---|---|
| Provider Enumeration Date | 07/24/2015 |
| Last Update Date | 07/24/2015 |
| Medicare PECOS PAC ID | 0547228686 |
|---|---|
| Medicare Enrollment ID | O20171221000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346625928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Hospital Authority Of Jefferson County And The City Of Louisville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 152 North Main Street, Wadley, GA 30477 Phone: 478-625-7000 Fax: 478-625-8907 |