ALBANY AREA PRIMARY HEALTH CARE INC. NPI 1730114208

NPI Information

NPI: 1730114208
Provider Name: ALBANY AREA PRIMARY HEALTH CARE, INC.

Doing Business As: DAWSON MEDICAL CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
505 FORRESTER DRIVE SE
DAWSON, GA
ZIP 39842
Phone: (229) 995-2990
Get Directions

ALBANY AREA PRIMARY HEALTH CARE, INC. is a federally qualified health center (fqhc) clinic center in Dawson, GA. ALBANY AREA PRIMARY HEALTH CARE, INC. NPI is 1730114208. The provider is registered as an organization entity type.
The provider Is Doing Business As Dawson Medical Center.

The provider's business location address is:

505 FORRESTER DRIVE SE
DAWSON, GA
ZIP 39842
Phone: (229) 995-2990
Fax: (229) 995-2993

The provider's authorized official is Shelley Spires .
The authorized official title is Ceo and has the following contact phone number (229) 888-6559.

The CLIA number assigned to this NPI record is 11D0952659 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 7/3/2023.

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

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	000797585A	MEDICAID	GEORGIA
2	000797585B	MEDICAID	GEORGIA
3	CI1481	OTHER	GEORGIA	RR MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »