COMMUNITY HEALTH CARE SYSTEMS INC NPI 1790265056

NPI Information

NPI: 1790265056
Provider Name: COMMUNITY HEALTH CARE SYSTEMS INC,

Doing Business As: COMMUNITY HEALTH CARE SYSTEMS, INC-TALIAFERRO

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
557A BROAD ST NW
CRAWFORDVILLE, GA
ZIP 30631
Phone: (478) 864-3448
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COMMUNITY HEALTH CARE SYSTEMS INC, is a federally qualified health center (fqhc) clinic center in Crawfordville, GA. COMMUNITY HEALTH CARE SYSTEMS INC, NPI is 1790265056. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Health Care Systems, Inc-taliaferro.

The provider's business location address is:

557A BROAD ST NW
CRAWFORDVILLE, GA
ZIP 30631-918
Phone: (478) 864-3448
Fax: (478) 864-1288

The provider's authorized official is Carla W Belcher .
The authorized official title is Ceo and has the following contact phone number (478) 552-7384.

The enumeration date for this NPI number is 8/16/2018 and was last updated on 8/16/2018.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

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This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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