ALBANY AREA PRIMARY HEALTH CARE, INC. (NPI# 1326404658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326404658 |
Entity Type | Organization |
Organization Name | ALBANY AREA PRIMARY HEALTH CARE, INC. |
Other Organization Name | TERRELL COUNTY SCHOOL-BASED HEALTH CENTER |
Practice Address |
455 Greenwave Blvd Dawson GA 39842-2908 |
Mailing Address |
204 N Westover Blvd Albany GA 31707-2983 |
Practice Telephone | 2294056238 |
Practice Fax Number | 2299954555 |
Mailing Telephone | 2298886559 |
Mailing Fax Number | 2294364107 |
Enumeration Date | 2015-12-31 |
Last Update Date | 2016-01-26 |
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 |
Other Name | Type Code |
---|---|
Terrell County School-Based Health Center | 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 |
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 |
1568784056 | Albany Area Primary Health Care, Inc. | Clinical Medical Laboratory | 1711 E. Broad Avenue, Albany, GA 31705-2311 | 2010-02-24 |
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 |
455 GREENWAVE BLVD |
City | DAWSON |
State | GA |
Zip Code | 39842-2908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083944854 | Rita Robinson James | Nurse Practitioner | 420 Johnson Street, Se, Dawson, GA 39842 | 2009-12-30 |
1841238326 | Dawson Manor Nursing Home LLC | Skilled Nursing Facility | 1159 Georgia Ave Se, Dawson, GA 39842 | 2006-06-04 |
1902074040 | Corey Dunning | Respiratory Therapist, Certified | 260 Hamilton Ave Ne, Dawson, GA 39842-1048 | 2008-02-12 |
1023559648 | Working Concepts Inc | Community/Behavioral Health | 432 Crawford St Ne, Dawson, GA 39842-1279 | 2017-03-15 |
1811919764 | Fred S Turpin | Optometrist | 226 N Main St, Dawson, GA 39842-1420 | 2006-07-23 |
1518033992 | Robert Walker Johnson | Dentist | 267 Stonewall St Se, Dawson, GA 39842-1440 | 2006-11-28 |
1922102979 | Dawson Pharmacy Inc | Pharmacy | 101 E Lee St, Dawson, GA 39842-1485 | 2006-09-12 |
1033243522 | Charles Edwin Scott Jr. | Pharmacist | 101 E Lee St, P O B 430, Dawson, GA 39842-1485 | 2007-03-15 |
1598833782 | Dawson Pharmacy Inc | Pharmacy | 101 E Lee St, Dawson, GA 39842-1485 | 2006-12-04 |
1306831615 | Terrell Co Ems | Clinic/Center | 240 Johnson St Se, Dawson, GA 39842-1486 | 2005-09-13 |
Find all providers in zip 39842 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730114208 | Albany Area Primary Health Care, Inc. | Clinic/Center | 420 Johnson St Se, Dawson, GA 39842-1523 | 2006-07-12 |
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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.