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CHRIST COMMUNITY HEALTH SERVICES AUGUSTA INC NPI 1043568264


NPI Information

NPI: 1043568264
Provider Name: CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
127 TELFAIR ST
AUGUSTA, GA
ZIP 30901
Phone: (706) 922-0600
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CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC is a federally qualified health center (fqhc) clinic center in Augusta, GA. CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC NPI is 1043568264. The provider is registered as an organization entity type.

The provider's business location address is:

127 TELFAIR ST
AUGUSTA, GA
ZIP 30901-590
Phone: (706) 922-0600
Fax: (706) 922-0604

The provider's authorized official is Jacob Dean Bostwick .
The authorized official title is Director Of Finance and has the following contact phone number (706) 922-0600.

The enumeration date for this NPI number is 8/20/2012 and was last updated on 2/15/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003127076AMEDICAIDGEORGIA
2FQC119MEDICAIDSOUTH CAROLINA

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: 4/28/2024

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