COMMUNITY CHRISTIAN COUNCIL OF HARALSON COUNTY INC NPI 1235631482

NPI Information

NPI: 1235631482
Provider Name: COMMUNITY CHRISTIAN COUNCIL OF HARALSON COUNTY INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
734 BOWDON ST
TALLAPOOSA, GA
ZIP 30176
Phone: (770) 328-8360
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COMMUNITY CHRISTIAN COUNCIL OF HARALSON COUNTY INC is a primary care clinic center in Tallapoosa, GA. COMMUNITY CHRISTIAN COUNCIL OF HARALSON COUNTY INC NPI is 1235631482. The provider is registered as an organization entity type.

The provider's business location address is:

734 BOWDON ST
TALLAPOOSA, GA
ZIP 30176-043
Phone: (770) 328-8360

The provider's authorized official is Zachary Daneil Bush .
The authorized official title is Executive Director and has the following contact phone number (770) 328-8360.

The enumeration date for this NPI number is 3/4/2018 and was last updated on 3/4/2018.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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