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FAMILY HEALTH CENTER OF ADEL INC. NPI 1124044292


NPI Information

NPI: 1124044292
Provider Name: FAMILY HEALTH CENTER OF ADEL, INC.

Doing Business As: FAMILY HEALTH CENTER OF ADEL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D1057579

Address:
406 N PARRISH AVE
ADEL, GA
ZIP 31620
Phone: (229) 896-1672
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FAMILY HEALTH CENTER OF ADEL, INC. is a family medicine in Adel, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY HEALTH CENTER OF ADEL, INC. NPI is 1124044292. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Family Health Center Of Adel.

The provider's business location address is:

406 N PARRISH AVE
ADEL, GA
ZIP 31620-076
Phone: (229) 896-1672
Fax: (229) 896-1676

The provider's authorized official is Jairaj Goberdhan .
The authorized official title is Owner and has the following contact phone number (229) 896-1672.

The CLIA number assigned to this NPI record is 11D1057579 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/14/2006 and was last updated on 1/13/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GRP7806MEDICARE PINGEORGIA
2934774OTHERGEORGIABLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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