| Fcpc Bruce Elementary Sbhc | |
|
3660 Houston Ave Macon GA 31206-2414 | |
| (478) 787-4266 | |
| (478) 787-7199 |
| Full Name | Fcpc Bruce Elementary Sbhc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3660 Houston Ave, Macon, Georgia |
| Authorized Official Name and Position | Katherine Mcleod (CEO) |
| Authorized Official Contact | 4782547204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fcpc Bruce Elementary Sbhc Po Box 4363 Macon GA 31208-4363 Ph: (478) 787-4266 | Fcpc Bruce Elementary Sbhc 3660 Houston Ave Macon GA 31206-2414 Ph: (478) 787-4266 |
| NPI Number | 1780480830 |
|---|---|
| Provider Enumeration Date | 02/20/2025 |
| Last Update Date | 07/07/2025 |
| Certification Date | 07/07/2025 |
| Medicare PECOS PAC ID | 6103907316 |
|---|---|
| Medicare Enrollment ID | O20250613002937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780480830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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