BOATWRIGHT-MCRAE CLINIC NPI 1831152503

NPI Information

  • NPI: 1831152503
  • Provider Name: BOATWRIGHT-MCRAE CLINIC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Address: 441 N W BROAT ST
    MTVERNON, GA
    ZIP 30428
  • Phone: (912) 583-2229

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NPI Details

BOATWRIGHT-MCRAE CLINIC is a rural health clinic center in Mtvernon, GA. BOATWRIGHT-MCRAE CLINIC NPI is 1831152503. The provider is registered as an organization entity type.

The provider's business location address is:

441 N W BROAT ST
MTVERNON, GA
ZIP 30428
Phone: (912) 583-2229

The provider's authorized official is Cindy Vann .
The authorized official title is Office Manger and has the following contact phone number (912) 523-5113.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 7/21/2022.

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
1261QR1300XClinic/CenterRural HealthGEORGIAYes

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
1000002076EMEDICAIDGEORGIA

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: 11/21/2025

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