EAST GEORGIA HEALTHCARE CENTER INC. NPI 1831144971

NPI Information

NPI: 1831144971
Provider Name: EAST GEORGIA HEALTHCARE CENTER, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
215 N COLEMAN ST
SWAINSBORO, GA
ZIP 30401
Phone: (478) 237-6262
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EAST GEORGIA HEALTHCARE CENTER, INC. is a federally qualified health center (fqhc) clinic center in Swainsboro, GA. EAST GEORGIA HEALTHCARE CENTER, INC. NPI is 1831144971. The provider is registered as an organization entity type.

The provider's business location address is:

215 N COLEMAN ST
SWAINSBORO, GA
ZIP 30401-530
Phone: (478) 237-6262
Fax: (478) 237-9138

The provider's authorized official is Jennie Wren Denmark .
The authorized official title is Ceo and has the following contact phone number (478) 237-6262.

The enumeration date for this NPI number is 5/24/2006 and was last updated on 10/23/2012.

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
1	111830	MEDICARE OSCAR/CERTIFICATION	WISCONSIN
2	000632376A	MEDICAID	GEORGIA
3	GRP4240	MEDICARE PIN	GEORGIA

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: 11/14/2023

NPI Synchronization or Removal

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