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CARECONNECT HEALTH INC. NPI 1124266499


NPI Information

NPI: 1124266499
Provider Name: CARECONNECT HEALTH, INC.

Doing Business As: CARECONNECT URGENT CARE

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D1095030

Address:
711 E 16TH AVE
CORDELE, GA
ZIP 31015
Phone: (229) 271-9330
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CARECONNECT HEALTH, INC. is a federally qualified health center (fqhc) clinic center in Cordele, GA. CARECONNECT HEALTH, INC. NPI is 1124266499. The provider is registered as an organization entity type.
The provider Is Doing Business As Careconnect Urgent Care.

The provider's business location address is:

711 E 16TH AVE
CORDELE, GA
ZIP 31015-513
Phone: (229) 271-9330
Fax: (229) 271-9245

The provider's authorized official is Linda Young .
The authorized official title is Secretary and has the following contact phone number (229) 273-8881.

The CLIA number assigned to this NPI record is 11D1095030 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2009 and was last updated on 9/13/2023.


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:

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
1176897197AMEDICAIDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.