| Primary Health Care Center Of Dade, Inc. | |
|
87 S Burnt Mill Rd La Fayette GA 30728-4263 | |
| (706) 620-4494 | |
| (706) 657-2958 |
| Full Name | Primary Health Care Center Of Dade, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 87 S Burnt Mill Rd, La Fayette, Georgia |
| Authorized Official Name and Position | Diana U Allen (CEO) |
| Authorized Official Contact | 7066204494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Health Care Center Of Dade, Inc. 13570 N Main St Trenton GA 30752-2012 Ph: (706) 956-2665 | Primary Health Care Center Of Dade, Inc. 87 S Burnt Mill Rd La Fayette GA 30728-4263 Ph: (706) 620-4494 |
| NPI Number | 1356715452 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 11/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356715452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Clark Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Pearl Dr Ste 106, La Fayette, GA 30728 Phone: 423-653-6404 | |
Lafayette After Hours, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 E Villanow St, La Fayette, GA 30728 Phone: 423-495-4839 Fax: 423-495-7887 | |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1507 Broomtown Rd, La Fayette, GA 30728 Phone: 706-638-3559 | |
Lafayette Medical Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201b N Main St, La Fayette, GA 30728 Phone: 706-638-1506 Fax: 706-638-1507 | |
Primary Health Care Center Of Dade, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 87 S Burnt Mill Rd, La Fayette, GA 30728 Phone: 706-620-4494 Fax: 706-620-2379 | |
Primary Health Care Center Of Dade, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4038 E Highway 136, La Fayette, GA 30728 Phone: 706-866-5520 Fax: 706-657-2958 |