| Mckinney Medical Center Inc | |
|
9355 South Main Street Nahunta GA 31553-9806 | |
| (912) 462-6222 | |
| (912) 287-0687 |
| Full Name | Mckinney Medical Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9355 South Main Street, Nahunta, Georgia |
| Authorized Official Name and Position | Ola Smith (CEO) |
| Authorized Official Contact | 9122870301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckinney Medical Center Inc 218 Quarterman St Waycross GA 31501-3547 Ph: (912) 287-0301 | Mckinney Medical Center Inc 9355 South Main Street Nahunta GA 31553-9806 Ph: (912) 462-6222 |
| NPI Number | 1871756049 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 06/05/2019 |
| Medicare PECOS PAC ID | 3173432226 |
|---|---|
| Medicare Enrollment ID | O20080820000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871756049 | NPI | - | NPPES |
| 000715415B | Medicaid | GA | |
| 336244 | Other | GA | WELLCARE |
| 10066125 | Other | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southland Nahunta, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13202 Cleveland St W, Suite 200, Nahunta, GA 31553 Phone: 229-300-5896 Fax: 229-269-4874 | |
Coastal Community Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10804 Highway 82, Nahunta, GA 31553 Phone: 912-342-7281 | |
Blackshear Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Johnson St, Nahunta, GA 31553 Phone: 912-462-8920 Fax: 912-449-9766 | |
Georgia Physicians South, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Johnson St, Nahunta, GA 31553 Phone: 912-462-8920 Fax: 912-462-5184 |