ATHENS MODEL NEIGHBORHOOD HEALTH CENTER INC NPI 1093932683

NPI Information

ATHENS MODEL NEIGHBORHOOD HEALTH CENTER INC is a federally qualified health center (fqhc) clinic center in Athens, GA. ATHENS MODEL NEIGHBORHOOD HEALTH CENTER INC NPI is 1093932683. The provider is registered as an organization entity type.

The provider's business location address is:

675 COLLEGE AVE
ATHENS, GA
ZIP 30601
Phone: (706) 546-5526
Fax: (706) 546-5687

The provider's authorized official is Linda M Cherry .
The authorized official title is Human Resource Director and has the following contact phone number (762) 499-6960.

The CLIA number assigned to this NPI record is 11D1051471 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/7/2023.

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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