MEDLINK GEORGIA INC NPI 1336259340

NPI Information

NPI: 1336259340
Provider Name: MEDLINK GEORGIA INC

Other Name: MEDLINK ROYSTON

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
930 FRANKLIN SPRINGS ST
STE A
ROYSTON, GA
ZIP 30662
Phone: (706) 245-5050
Get Directions

MEDLINK GEORGIA INC is a federally qualified health center (fqhc) clinic center in Royston, GA. MEDLINK GEORGIA INC NPI is 1336259340. The provider is registered as an organization entity type.
The provider Other Name Is Medlink Royston.

The provider's business location address is:

930 FRANKLIN SPRINGS ST
STE A
ROYSTON, GA
ZIP 30662-908
Phone: (706) 245-5050

The provider's authorized official is David Ward .
The authorized official title is Ceo and has the following contact phone number (706) 788-3234.

The CLIA number assigned to this NPI record is 11D2285939 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/30/2006 and was last updated on 5/3/2022.

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	261QF0400X	Clinic/Center	Federally 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
1	000471765E	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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