CHRIST COMMUNITY HEALTH SERVICES AUGUSTA INC NPI 1073192985

NPI Information

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 1073192985. The provider is registered as an organization entity type.

The provider's business location address is:

2604 PEACH ORCHARD RD STE 200
AUGUSTA, GA
ZIP 30906-406
Phone: (706) 922-0600

The provider's authorized official is Jacob Bostwick .
The authorized official title is Cfo and has the following contact phone number (706) 396-1474.

The CLIA number assigned to this NPI record is 11D1073630 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/7/2021 and was last updated on 4/7/2021.

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:

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