MEDLINK GEORGIA INC NPI 1649829532

NPI Information

NPI: 1649829532
Provider Name: MEDLINK GEORGIA INC

Doing Business As: MEDLINK GWINNETT

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
980 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 676-6500
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MEDLINK GEORGIA INC is a federally qualified health center (fqhc) clinic center in Lawrenceville, GA. MEDLINK GEORGIA INC NPI is 1649829532. The provider is registered as an organization entity type.
The provider Is Doing Business As Medlink Gwinnett.

The provider's business location address is:

980 LAWRENCEVILLE HWY
LAWRENCEVILLE, GA
ZIP 30046-706
Phone: (770) 676-6500

The provider's authorized official is Dave 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 11D2144705 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/4/2019 and was last updated on 2/17/2022.

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

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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