| Albany Area Primary Health Care, Inc. | |
|
19519 Hartford St Edison GA 39846-5803 | |
| (229) 835-2238 | |
| (229) 835-3032 |
| Full Name | Albany Area Primary Health Care, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 19519 Hartford St, Edison, Georgia |
| Authorized Official Name and Position | Shelley Spires (CEO) |
| Authorized Official Contact | 2298886559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Albany Area Primary Health Care, Inc. 2408 Westgate Dr Albany GA 31707-2277 Ph: (229) 888-6559 | Albany Area Primary Health Care, Inc. 19519 Hartford St Edison GA 39846-5803 Ph: (229) 835-2238 |
| NPI Number | 1366477838 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 07/01/2025 |
| Medicare PECOS PAC ID | 7911811922 |
|---|---|
| Medicare Enrollment ID | O20050920001108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366477838 | NPI | - | NPPES |
| 000674737A | Medicaid | GA | |
| CG1481 | Other | RR MEDICARE | |
| 000674737B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |