ALBANY AREA PRIMARY HEALTH CARE, INC. (NPI# 1184649329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184649329 |
Entity Type | Organization |
Organization Name | ALBANY AREA PRIMARY HEALTH CARE, INC. |
Other Organization Name | BAKER COUNTY PRIMARY HEALTH CARE |
Practice Address |
327-3 Sunset Ave Sw Newton GA 39870-7343 |
Mailing Address |
204 N Westover Blvd Albany GA 31707-2983 |
Practice Telephone | 2297345250 |
Practice Fax Number | 2297345606 |
Mailing Telephone | 2297345250 |
Mailing Fax Number | 2297345606 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2015-10-15 |
Authorized Official Name | SHELLEY SPIRES (CEO) |
Authorized Official Telephone | 2298886559 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | RR MEDICARE | CK1477 | 01 |
GA | 000188548A | 05 |
Other Name | Type Code |
---|---|
Baker County Primary Health Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700360435 | Albany Area Primary Health Care, Inc. | Clinic/Center | 2403 Osler Ct., Ste A, Albany, GA 31707-0205 | 2018-09-19 |
1841770971 | Albany Area Primary Health Care, Inc. | Pharmacy | 1712 E Broad Ave Ste A, Albany, GA 31705-2611 | 2018-08-17 |
1013422161 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1305 E 2nd Ave, Albany, GA 31705-1315 | 2017-12-12 |
1467967588 | Albany Area Primary Health Care, Inc. | Clinic/Center | 4529 Gillionville Rd, Albany, GA 31721-9566 | 2017-12-12 |
1699131920 | Albany Area Primary Health Care, Inc. | Clinic/Center | 330 Old Hatley Rd, Cordele, GA 31015-5104 | 2015-12-31 |
1326404658 | Albany Area Primary Health Care, Inc. | Clinic/Center | 455 Greenwave Blvd, Dawson, GA 39842-2908 | 2015-12-31 |
1164888491 | Albany Area Primary Health Care, Inc. | Clinic/Center | 2403 Osler Ct Ste B, Albany, GA 31707-0205 | 2015-12-31 |
1427413137 | Albany Area Primary Health Care, Inc. | Clinic/Center | 11949 Us Highway 41, Pinehurst, GA 31070-7467 | 2015-12-22 |
1902277635 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1700 Cordell Ave, Albany, GA 31705-1497 | 2015-10-07 |
1003287731 | Albany Area Primary Health Care, Inc. | Clinic/Center | 1425 W Oakridge Dr, Albany, GA 31707-5306 | 2015-10-07 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ALBANY AREA PRIMARY HEALTH CARE, INC | 204 N Westover Blvd, Albany, GA 31707-2983 |
Street Address |
327-3 SUNSET AVE SW |
City | NEWTON |
State | GA |
Zip Code | 39870-7343 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972905701 | Lefelian Robinson | Social Worker | 247 Bryant Circle, S.w, Newton, GA 39870 | 2014-09-24 |
1295135697 | Erica Leigh Whitehead | Physician Assistant | 327 Sunset Ave Sw # 3, Newton, GA 39870 | 2014-09-04 |
1003918376 | James Womack | Physician Assistant | 327-3 Sunset Avenue Sw, Newton, GA 39870 | 2006-09-05 |
1093737355 | Baker County Emergency Medical Service | Emergency Medical Technician, Paramedic | 129 Hillcrest, Newton, GA 39870 | 2006-07-24 |
1174750988 | Frances Elaine Ferguson | Internal Medicine | 327-3 Sunset Avenue Sw, Newton, GA 39870 | 2009-06-18 |
1255433504 | Mary Joyce Neal | Pediatrics | 327-3 Sunset Avenue Sw, Newton, GA 39870 | 2006-09-05 |
1992801146 | Baker County Ems | Ambulance | 167 Baker Place, Newton, GA 39870-0683 | 2006-09-15 |
1144211079 | Baker County Board of Health | Public Health or Welfare | 100 Sunset Blvd, Newton, GA 39870-6007 | 2005-10-31 |
1891278107 | Jana Hart Brock | Nurse Practitioner | 3389 William Irvin Rd, Newton, GA 39870-7129 | 2018-09-12 |
1033530936 | Baker County Board of Education | Local Education Agency (LEA) | 260 Sw Hwy 37, Newton, GA 39870-8212 | 2013-12-18 |
Find all providers in zip 39870 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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.