ALBANY AREA PRIMARY HEALTH CARE INC. NPI 1346265550

NPI Information

NPI: 1346265550
Provider Name: ALBANY AREA PRIMARY HEALTH CARE, INC.

Doing Business As: EAST ALBANY PEDIATRIC & ADOLESCENT CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1712-C EAST BROAD AVENUE
ALBANY, GA
ZIP 31705
Phone: (229) 639-3103
Get Directions

ALBANY AREA PRIMARY HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Albany, GA. ALBANY AREA PRIMARY HEALTH CARE, INC. NPI is 1346265550. The provider is registered as an organization entity type.
The provider Is Doing Business As East Albany Pediatric & Adolescent Center.

The provider's business location address is:

1712-C EAST BROAD AVENUE
ALBANY, GA
ZIP 31705
Phone: (229) 639-3103
Fax: (229) 888-8935

The provider's authorized official is Shelley Spires .
The authorized official title is Ceo and has the following contact phone number (229) 888-6559.

The CLIA number assigned to this NPI record is 11D0934446 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 10/15/2015.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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
1	267797696A	MEDICAID	GEORGIA
2	GRP 1502	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	GROUP NUMBER
3	11-1885	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	FQHC

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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