EAST GEORGIA HEALTHCARE CENTER, INC. (NPI# 1821270323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821270323 |
Entity Type | Organization |
Organization Name | EAST GEORGIA HEALTHCARE CENTER, INC. |
Practice Address |
34 Nw Broad St Metter GA 30439-4025 |
Mailing Address |
215 N Coleman St Swainsboro GA 30401-3530 |
Practice Telephone | 9126854040 |
Practice Fax Number | 9126854041 |
Mailing Telephone | 4782376262 |
Mailing Fax Number | 4782379138 |
Enumeration Date | 2007-11-27 |
Last Update Date | 2017-02-03 |
Authorized Official Name | JENNIE WREN C. DENMARK (CEO) |
Authorized Official Telephone | 4782376262 |
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 | 000632376H | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487892857 | East Georgia Healthcare Center, Inc. | Clinic/Center | 118 E Broad St, Mount Vernon, GA 30445-3018 | 2009-01-23 |
1700820917 | East Georgia Healthcare Center, Inc. | Clinic/Center | 452 Second St, Soperton, GA 30457-3004 | 2006-06-16 |
1093754905 | East Georgia Healthcare Center, Inc. | Clinic/Center | 117 Memorial Dr, Reidsville, GA 30453-4641 | 2006-06-06 |
1790924918 | East Georgia Healthcare Center, Inc. | Clinic/Center | 118 Alice Coleman Dr, Vidalia, GA 30474-8860 | 2009-02-11 |
1477738417 | East Georgia Healthcare Center, Inc. | Clinic/Center | 125b Victory Dr, Swainsboro, GA 30401-3234 | 2008-01-09 |
1821126400 | East Georgia Healthcare Center, Inc. | Clinic/Center | 1570 Brampton Ave, Statesboro, GA 30458-0855 | 2007-03-02 |
1831144971 | East Georgia Healthcare Center, Inc. | Clinic/Center | 215 N Coleman St, Swainsboro, GA 30401-3530 | 2006-05-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | EAST GEORGIA HEALTHCARE CENTER, INC. | 215 N Coleman St, Swainsboro, GA 30401-3530 |
Street Address |
34 NW BROAD ST |
City | METTER |
State | GA |
Zip Code | 30439-4025 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861913089 | Adrienne Vining | Nurse Practitioner | 34 Nw Broad St, Metter, GA 30439-4025 | 2017-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285132415 | Tattnall Hospital Company, LLC | Family Medicine | 380a Cedar St, Metter, GA 30439 | 2018-01-23 |
1356718050 | Fred's Stores of Tennessee Inc | Pharmacy | 978 Ga Highway 46 E., Metter, GA 30439 | 2015-08-28 |
1235548447 | Southern Home Care Services, Inc. | In Home Supportive Care | 11 South Roundtree St, Metter, GA 30439 | 2014-08-13 |
1013261312 | Tattnall Hospital Company, LLC | Physical Medicine & Rehabilitation | 8. North Williams Street, Metter, GA 30439 | 2012-11-08 |
1598913394 | Julie Marshall Karpinsky | Nurse's Aide | 4830 White Way Circle, Metter, GA 30439 | 2008-09-04 |
1578623955 | Mary H. Jackson | Counselor | Route 1, Metter, GA 30439 | 2006-12-08 |
1467538454 | Cheryl Rogers Allen | Pharmacist | 19 North Broad Sreet, Metter, GA 30439 | 2006-10-31 |
1407963853 | William W Clance Dmd PC | Dentist | 500 N Lewis St, Metter, GA 30439 | 2006-08-23 |
1568482644 | R Gary Branch | Family Medicine | 10 Doctors Street, Metter, GA 30439 | 2006-07-20 |
1093973406 | John Robert Bowen Jr. | Pharmacist | 745 S Lewis St, Metter, GA 30439 | 2008-06-02 |
Find all providers in zip 30439 |
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 |
---|---|---|---|---|
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 |
Please comment or provide details below to improve the information on EAST GEORGIA HEALTHCARE CENTER, INC..
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.