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26KC CENTER FOR FAMILY MEDICINE NPI 1790974293


NPI Information

NPI: 1790974293
Provider Name: 26KC CENTER FOR FAMILY MEDICINE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
800 TOWNE PARK DR
SUIT 400,
RINCON, GA
ZIP 31326
Phone: (912) 826-3373
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26KC CENTER FOR FAMILY MEDICINE is a clinic center in Rincon, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). 26KC CENTER FOR FAMILY MEDICINE NPI is 1790974293. The provider is registered as an organization entity type.

The provider's business location address is:

800 TOWNE PARK DR
SUIT 400,
RINCON, GA
ZIP 31326-156
Phone: (912) 826-3373

The provider's authorized official is Kennedy Kelechi Okere .
The authorized official title is Medical Director and has the following contact phone number (912) 826-3373.

The enumeration date for this NPI number is 10/20/2007 and was last updated on 10/25/2009.


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
1261QP2300XClinic/CenterPrimary Care50331GEORGIANo
2261Q00000XClinic/Center50331GEORGIAYes

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
1H51267MEDICARE UPINGEORGIA
2511I080090MEDICARE PINGEORGIA
3000923062EMEDICAIDGEORGIA

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

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