| South Central Primary Care Center, Inc | |
|
521 Lax Hwy Ocilla GA 31774-2225 | |
| (229) 468-9166 | |
| (229) 468-9188 |
| Full Name | South Central Primary Care Center, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 521 Lax Hwy, Ocilla, Georgia |
| Authorized Official Name and Position | Robert Bonds Tucker (CEO) |
| Authorized Official Contact | 2294689166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Central Primary Care Center, Inc Po Box 749 Ocilla GA 31774-0749 Ph: (229) 468-9166 | South Central Primary Care Center, Inc 521 Lax Hwy Ocilla GA 31774-2225 Ph: (229) 468-9166 |
| NPI Number | 1811625486 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811625486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Irwin Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Cherry St, Ocilla, GA 31774 Phone: 229-468-5020 Fax: 229-468-5024 | |
Irwin Specialty Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 N Irwin Ave, Ocilla, GA 31774 Phone: 229-468-3800 | |
Irwin Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 361 Cargile Rd, Ocilla, GA 31774 Phone: 229-468-3975 | |
South Central Family Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 607c N Irwin Ave, Ocilla, GA 31774 Phone: 229-468-5020 Fax: 229-468-5024 | |
Irwin Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 361 Cargile Rd, Ocilla, GA 31774 Phone: 229-468-3975 | |
South Central Primary Care Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 Chieftain Cir, Ocilla, GA 31774 Phone: 229-468-9166 Fax: 229-468-9188 | |
Irwin County Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 710 N Irwin Ave, Ocilla, GA 31774 Phone: 229-468-3800 |