| Innovate Healthcare Inc | |
|
5450 Whittlesey Blvd Columbus GA 31909-2139 | |
| (706) 843-4398 | |
| (706) 723-8671 |
| Full Name | Innovate Healthcare Inc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 5450 Whittlesey Blvd, Columbus, Georgia |
| Authorized Official Name and Position | Riliwanu Aliu (OWNER) |
| Authorized Official Contact | 7708659610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovate Healthcare Inc 3589 Bartows Brg Powder Springs GA 30127-9001 Ph: (706) 842-4398 | Innovate Healthcare Inc 5450 Whittlesey Blvd Columbus GA 31909-2139 Ph: (706) 843-4398 |
| NPI Number | 1366058034 |
|---|---|
| Provider Enumeration Date | 09/18/2020 |
| Last Update Date | 09/24/2020 |
| Medicare PECOS PAC ID | 1254750748 |
|---|---|
| Medicare Enrollment ID | O20201002000442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366058034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Riliwanu Aliu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619397197 PECOS PAC ID: 1355643552 Enrollment ID: I20170830000270 |
| Provider Name | Nimota Akintoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295382182 PECOS PAC ID: 7911315080 Enrollment ID: I20210412000067 |
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