TRI-COUNTY HEALTH SYSTEM INC. NPI 1124294434

NPI Information

  • NPI: 1124294434
  • Provider Name: TRI-COUNTY HEALTH SYSTEM, INC.
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 156 ALEXANDER STREET
    CRAWFORDVILLE, GA
    ZIP 30631
  • Phone: (706) 456-2925

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NPI Details

TRI-COUNTY HEALTH SYSTEM, INC. is a federally qualified health center (fqhc) clinic center in Crawfordville, GA. TRI-COUNTY HEALTH SYSTEM, INC. NPI is 1124294434. The provider is registered as an organization entity type.

The provider's business location address is:

156 ALEXANDER STREET
CRAWFORDVILLE, GA
ZIP 30631-800
Phone: (706) 456-2925
Fax: (706) 456-2224

The provider's authorized official is Donna Newsome .
The authorized official title is Ceo and has the following contact phone number (706) 465-3253.

The enumeration date for this NPI number is 5/6/2008 and was last updated on 6/25/2008.

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
1000215982EOTHERGEORGIAMEDICAID FFS
2000308228COTHERGEORGIAMEDICAID FFS
3000471809COTHERGEORGIAMEDICAID FQHC
4E82459MEDICARE UPINGEORGIA
5I33394MEDICARE UPINGEORGIA
608BDFZDOTHERGEORGIAMEDICARE FFS
7000302068KOTHERGEORGIAMEDICAID FFS
808BBSCLOTHERGEORGIAMEDICARE FFS
908BDFLSOTHERGEORGIAMEDICARE FFS
10D46411MEDICARE UPINGEORGIA
11111813MEDICARE OSCAR/CERTIFICATIONGEORGIA
12000060387TOTHERGEORGIAMEDICAID FFS
1308BBWTQOTHERGEORGIAMEDICARE FFS
14980939645GOTHERGEORGIAMEDICAID FFS
1508BDMNGOTHERGEORGIAMEDICARE FFS
16D46168MEDICARE UPINGEORGIA
17D46114MEDICARE UPINGEORGIA
18GRP1619OTHERGEORGIAMEDICARE FFS

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: 11/21/2025

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