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ALBANY AREA PRIMARY HEALTH CARE INC. NPI 1467967588


NPI Information

NPI: 1467967588
Provider Name: ALBANY AREA PRIMARY HEALTH CARE, INC.

Doing Business As: LIVE OAK ELEMENTARY SCHOOL-BASED HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D2143141

Address:
4529 GILLIONVILLE RD
ALBANY, GA
ZIP 31721
Phone: (229) 405-6188
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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 1467967588. The provider is registered as an organization entity type.
The provider Is Doing Business As Live Oak Elementary School-based Health Center.

The provider's business location address is:

4529 GILLIONVILLE RD
ALBANY, GA
ZIP 31721-566
Phone: (229) 405-6188
Fax: (229) 299-4143

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 11D2143141 - tissue bank/repositories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 12/12/2017.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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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