| Samuel B Cobarrubias Md, Pc | |
|
180 Carswell St Homerville GA 31634-2413 | |
| (912) 487-1654 | |
| Not Available |
| Full Name | Samuel B Cobarrubias Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 Carswell St, Homerville, Georgia |
| Authorized Official Name and Position | Samuel Cobarrubias (PRESIDENT) |
| Authorized Official Contact | 9124871654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel B Cobarrubias Md, Pc Po Box 28 Homerville GA 31634-0028 Ph: (912) 487-1654 | Samuel B Cobarrubias Md, Pc 180 Carswell St Homerville GA 31634-2413 Ph: (912) 487-1654 |
| NPI Number | 1336455823 |
|---|---|
| Provider Enumeration Date | 08/23/2010 |
| Last Update Date | 08/23/2010 |
| Medicare PECOS PAC ID | 3072639863 |
|---|---|
| Medicare Enrollment ID | O20100929001246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336455823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1002 (Georgia) | Primary |
| Provider Name | Samuel B Cobarrubias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801855986 PECOS PAC ID: 8325164122 Enrollment ID: I20100929001278 |
| Provider Name | Betsy D Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063961522 PECOS PAC ID: 3678850872 Enrollment ID: I20170425002125 |
Roger W Huelsnitz Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Huxford St, Homerville, GA 31634 Phone: 912-487-1737 Fax: 912-487-1739 | |
Balaji Medical Practice, Llc Dba Clinch Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Courtland Ave, Homerville, GA 31634 Phone: 912-487-5053 | |
Clinch County Hospital Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 80 Huxford St, Homerville, GA 31634 Phone: 912-487-5211 | |
Suwannee River Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 30 W Forest Ave, Homerville, GA 31634 Phone: 912-487-1737 Fax: 912-487-1739 | |
Clinch Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Courtland Ave, Homerville, GA 31634 Phone: 912-487-5053 | |
South Georgia Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 380 N Church St, Homerville, GA 31634 Phone: 912-487-1737 Fax: 912-487-1739 |