PHOEBE WORTH MEDICAL CENTER INC NPI 1891770764

NPI Information

NPI: 1891770764
Provider Name: PHOEBE WORTH MEDICAL CENTER, INC

Doing Business As: PHOEBE WORTH FAMILY MEDICINE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1014 W FRANKLIN ST
SYLVESTER, GA
ZIP 31791
Phone: (229) 776-2965
Get Directions

PHOEBE WORTH MEDICAL CENTER, INC is a rural health clinic center in Sylvester, GA. PHOEBE WORTH MEDICAL CENTER, INC NPI is 1891770764. The provider is registered as an organization entity type.
The provider Is Doing Business As Phoebe Worth Family Medicine.

The provider's business location address is:

1014 W FRANKLIN ST
SYLVESTER, GA
ZIP 31791-978
Phone: (229) 776-2965
Fax: (229) 776-4452

The provider's authorized official is Stacey L Flynt .
The authorized official title is Business Office Manager and has the following contact phone number (229) 777-4514.

The enumeration date for this NPI number is 12/13/2005 and was last updated on 11/13/2007.

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	261QR1300X	Clinic/Center	Rural Health			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	113477	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	00002109E	MEDICAID	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: 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 »