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ALBANY AREA PRIMARY HEALTH CARE INC. NPI 1023043692


NPI Information

NPI: 1023043692
Provider Name: ALBANY AREA PRIMARY HEALTH CARE, INC.

Doing Business As: SOUTH ALBANY MEDICAL CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D1047874

Address:
1300 NEWTON RD
ALBANY, GA
ZIP 31701
Phone: (229) 431-3120
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 1023043692. The provider is registered as an organization entity type.
The provider Is Doing Business As South Albany Medical Center.

The provider's business location address is:

1300 NEWTON RD
ALBANY, GA
ZIP 31701-424
Phone: (229) 431-3120
Fax: (229) 431-3345

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 11D1047874 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

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
1261QF0400XClinic/CenterFederally 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
1CB1471OTHERGEORGIARR MEDICARE
2CK1476OTHERGEORGIARR MEDICARE
3139632799AMEDICAIDGEORGIA
4GRP 1502MEDICARE ID-TYPE UNSPECIFIEDGEORGIAGROUP NUMBER
5111894MEDICARE ID-TYPE UNSPECIFIEDGEORGIAFQHC

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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