AIRPORT CLINIC INC (NPI# 1730354739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730354739 |
| Entity Type | Organization |
| Organization Name | AIRPORT CLINIC INC |
| Practice Address |
704 Gil Harbin Industrial Blvd Valdosta GA 31601-6513 |
| Practice Telephone | 2292429003 |
| Mailing Telephone | 2292429003 |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2013-11-21 |
| Authorized Official Name | STEVE GRAHAM (PRESIDENT) |
| Authorized Official Telephone | 2292429003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 227527287B | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AIRPORT CLINIC INC. | 704 Gil Harbin, Valdosta, GA 31601-6513 |
| Street Address |
704 GIL HARBIN INDUSTRIAL BLVD |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31601-6513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356318265 | Thomas Alexandeer Mackean | Nurse Practitioner | 704 Gil Harbin Industrial Blvd, Valdosta, GA 31601-6513 | 2006-03-01 |
| 1831529536 | Valdosta Imaging Center Inc | Radiology | 704 Gil Harbin Industrial Blvd, Ste A, Valdosta, GA 31601-6513 | 2013-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437700838 | Tristan Carlos Garcia | Specialist/Technologist | 605 West Mary Street, Valdosta, GA 31601 | 2019-09-26 |
| 1508332438 | Euniqua Lashay Williams | Contractor | 812 Lausanne Drive, Valdosta, GA 31601 | 2018-10-18 |
| 1457847634 | Valencia Meshay Johnson | Contractor | 1211 North Oak Street, Valdosta, GA 31601 | 2018-07-10 |
| 1376038042 | Restoration Care Services, LLC | Home Health | 704 Lake Park Road, Valdosta, GA 31601 | 2018-06-26 |
| 1609373133 | Ikea Sharnay Calhoun | Contractor | 1710 Dedo Drive, Valdosta, GA 31601 | 2018-04-11 |
| 1174049431 | Alexious Denson | Contractor | 900 Blanton St., Apt A16, Valdosta, GA 31601 | 2017-08-18 |
| 1578012258 | Clarissa Yolanda Alderman | Counselor | 4107 N Forrest Run Circle, Valdosta, GA 31601 | 2016-09-23 |
| 1225322613 | Andrea J. Ramirez | Counselor | 1301 Melody Ln Ste B, Valdosta, GA 31601 | 2011-06-03 |
| 1316248560 | L&r Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 14 Sharper Circle, Valdosta, GU 31601 | 2010-11-04 |
| 1902121809 | Grace Healthcare Services Inc | Respite Care | 1010 Slater Street, Valdosta, GA 31601 | 2010-04-02 |
| Find all providers in zip 31601 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1588803720 | Resolution Family Weight Loss and Wellness Center | Clinic/Center | 2231 Bemiss Rd, B, Valdosta, GA 31602-4812 | 2009-02-11 |
| 1952729980 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1550 Commerce Dr, Valdosta, GA 31601-1206 | 2014-04-07 |
| 1447695085 | Sgmp Southland LLC | Clinic/Center | 201 Woodrow Wilson Dr, Valdosta, GA 31602-2538 | 2013-05-09 |
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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.