CENTER FOR PAN ASIAN COMMUNITY SERVICES INC. NPI 1336493311

NPI Information

NPI: 1336493311
Provider Name: CENTER FOR PAN ASIAN COMMUNITY SERVICES, INC.

Other Name: CPACS-COSMO HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 11D2075591

Address:
6185 BUFORD HWY BLDG B
PEACHTREE CORNERS, GA
ZIP 30071
Phone: (770) 936-0969
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CENTER FOR PAN ASIAN COMMUNITY SERVICES, INC. is a federally qualified health center (fqhc) clinic center in Peachtree Corners, GA. CENTER FOR PAN ASIAN COMMUNITY SERVICES, INC. NPI is 1336493311. The provider is registered as an organization entity type.
The provider Other Name Is Cpacs-cosmo Health Center.

The provider's business location address is:

6185 BUFORD HWY BLDG B
PEACHTREE CORNERS, GA
ZIP 30071-350
Phone: (770) 936-0969

The provider's authorized official is Chaiwon Kim .
The authorized official title is Chief Executive Officer and has the following contact phone number (770) 936-0969.

The CLIA number assigned to this NPI record is 11D2075591 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 3/27/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			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: 5/5/2024

NPI Synchronization or Removal

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