CARECONNECT HEALTH, INC. (NPI# 1184102725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184102725 |
Entity Type | Organization |
Organization Name | CARECONNECT HEALTH, INC. |
Other Organization Name | CARECONNECT FAMILY PRACTICE |
Practice Address |
9 W Main Street Alamo GA 30411 |
Mailing Address |
Po Box 5610 Cordele GA 31010-5610 |
Practice Telephone | 9125681438 |
Practice Fax Number | 9125677313 |
Mailing Telephone | 2292738881 |
Mailing Fax Number | 2292738985 |
Enumeration Date | 2018-08-06 |
Last Update Date | 2020-01-08 |
Authorized Official Name | LINDA YOUNG (EXECUTIVE SECRETARY) |
Authorized Official Telephone | 2292738881 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
CareConnect Family Practice | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
1528556990 | Careconnect Health, Inc. | Clinic/Center | 1909 Hwy. 82 West, Suites 3 & 4, Tifton, GA 31793 | 2018-05-01 |
1801302997 | Careconnect Health, Inc. | Clinic/Center | 209 North Camellia Blvd., Fort Valley, GA 31030 | 2017-12-27 |
1679096606 | Careconnect Health, Inc. | Clinic/Center | 110 E 13th Ave, Cordele, GA 31015-4245 | 2017-07-21 |
1912432527 | Careconnect Health, Inc. | Clinic/Center | 1909 Us Highway 82 W, Suite 5, Tifton, GA 31793-8200 | 2017-04-21 |
1699207050 | Careconnect Health, Inc. | Clinic/Center | 822 S Hill St, Griffin, GA 30224-4842 | 2017-04-03 |
1659819357 | Careconnect Health, Inc. | Clinic/Center | 277 Perry Pkwy, Suite C, Perry, GA 31069-8427 | 2017-02-02 |
1023463510 | Careconnect Health, Inc. | Clinic/Center | 1007 E 16th Ave, Suite A, Cordele, GA 31015-4549 | 2016-05-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CARECONNECT HEALTH, INC. | 510 Alston St, Suite B, Richland, GA 31825-6012 |
Street Address |
9 W MAIN STREET |
City | ALAMO |
State | GA |
Zip Code | 30411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992351795 | Laurie Frank | Physician Assistant | Wheeler Correctional Facility- Medical Department, 195 N. Broad Street, Alamo, GA 30411 | 2019-08-16 |
1528108545 | William Stephen Sightler | Family Medicine | 1100 N. Broad St., Alamo, GA 30411 | 2007-02-07 |
1376611947 | Wheeler County Health Department | Public Health or Welfare | 414 Kent Street, Alamo, GA 30411 | 2006-12-01 |
1801834114 | Alamo Family Clinic | Clinic/Center | 207 W Railroad St, Alamo, GA 30411 | 2006-06-02 |
1023589744 | Sarah Simmons Mikell | Nurse Practitioner | 139 East Main Street, Alamo, GA 30411 | 2018-12-06 |
1538236575 | Alamo Discount Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7 West Main Street, Alamo, GA 30411 | 2006-11-28 |
1033425962 | Odell Still Do LLC | Family Medicine | 28 W Railroad Ave, Alamo, GA 30411-3513 | 2010-08-30 |
1437498243 | Lindsay Joann Douglas | Specialist | 890 Springhill Church Rd, Alamo, GA 30411-3720 | 2013-02-14 |
1891867826 | Yvonne S Neau | Family Medicine | 195 N Broad St, Alamo, GA 30411-4055 | 2006-11-14 |
1578080222 | Debra Lee Hall | Nurse Practitioner | 195 N Broad St, Alamo, GA 30411-4055 | 2017-08-24 |
Find all providers in zip 30411 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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---|---|---|---|---|
1891395620 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 8a Probasco Street Unit 214, Lafayette, GA 30728 | 2020-10-30 |
1366066243 | Health Education Assessment and Leadership Inc | Clinic/Center | 225 Griffin St Nw, Atlanta, GA 30314-3917 | 2020-06-05 |
1851924377 | Valley Healthcare System | Clinic/Center | 1458 Benning Dr, Columbus, GA 31903-2200 | 2020-02-13 |
1952941528 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 400 E Broad St, Savannah, GA 31401-5104 | 2020-01-13 |
1023658523 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1407 Cobb Parkway Nw, Marietta, GA 30060-6546 | 2020-01-13 |
1467092221 | Careconnect Health, Inc. | Clinic/Center | 130 N Lee St, Forsyth, GA 31029-2122 | 2020-01-09 |
1417597238 | The Family Health Centers of Georgia, Inc | Clinic/Center | 19 John Maddox Dr Nw Ste B, Rome, GA 30165-1477 | 2020-01-09 |
1649810714 | Careconnect Health, Inc. | Clinic/Center | 254 Wright Avenue, Roberta, GA 31078 | 2020-01-07 |
1437798725 | Careconnect Health, Inc. | Clinic/Center | 414 S Frontage Rd Lot 53, Forsyth, GA 31029-3025 | 2020-01-03 |
1285277608 | Saint Joseph's Mercy Care Services, Inc. | Clinic/Center | 1976 Flat Shoals Rd Se Ste B, Atlanta, GA 30316-2857 | 2019-10-18 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.