CURTIS V. COOPER PRIMARY HEALTH CARE, INC (NPI# 1952941528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952941528 |
| Entity Type | Organization |
| Organization Name | CURTIS V. COOPER PRIMARY HEALTH CARE, INC |
| Practice Address |
400 E Broad St Savannah GA 31401-5104 |
| Mailing Address |
106 E Broad St Savannah GA 31401-2917 |
| Practice Telephone | 9125271000 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | ATHELSTANE SERAPHIN (CIO) |
| Authorized Official Telephone | 9125271130 |
| Is Organization Subpart | Y |
| Parent Organization Name | CURTIS V. COOPER PRIMARY HEALTH CARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235492398 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 2121 E. Derenne Ave, Savannah, GA 31406 | 2012-06-22 |
| 1659668010 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 349 W Bryan St, Savannah, GA 31401-2356 | 2011-07-06 |
| 1316972599 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 2 Roberts Street, Savannah, GA 31408-3524 | 2006-07-12 |
| 1750314183 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 106 East Broad Street, Savannah, GA 31401-2917 | 2006-07-09 |
| 1598373391 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 1501 Abercorn St, Savannah, GA 31401-7315 | 2020-07-17 |
| 1780224352 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 3219 College St, Savannah, GA 31404-5254 | 2020-01-13 |
| 1053675132 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 800 E 70th St, Savannah, GA 31405-4813 | 2012-07-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CURTIS V COOPER PRIMARY HEALTH CARE, INC. | 2 Roberts St, Savannah, GA 31401-3524 |
| Street Address |
400 E BROAD ST |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31401-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760031470 | Leslie Beatrice Dixon | Technician | 1109 Harmon Street, Savannah, GA 31401 | 2019-09-05 |
| 1912444621 | Sarah Kristen Shuman | Counselor | 140 East 40th St, Savannah, GA 31401 | 2017-01-20 |
| 1427591791 | Catherine Naomi Spann | Licensed Practical Nurse | 107 B Fahm Street, Savannag, GA 31401 | 2016-11-18 |
| 1871952499 | Jesline Palmer | Case Manager/Care Coordinator | 466 Martin Luther King Blvd, Savanah, GA 31401 | 2016-02-11 |
| 1487012894 | Suzanne Waltman Coote | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2016-02-01 |
| 1356748032 | Beverly Weaver | Registered Nurse | 107 B Fahm St., Savannah, GA 31401 | 2014-11-25 |
| 1275938011 | Olukemi Olubajo | Dietitian, Registered | 125 Fahm Street, J C Lewis Primary Health Care Center, Savannah, GA 31401 | 2014-10-22 |
| 1346642279 | Kristin Jaski | Social Worker | 127 Abercorn St, Suite 301b, Savannah, GA 31401 | 2014-09-23 |
| 1528497500 | Kathleen Alice Flynn | Nurse Practitioner | 1900 Abercorn Street, Suite 100, Savannah, GA 31401 | 2013-11-11 |
| 1306112248 | Elizabeth Windom Stewart | Nurse Practitioner | 300 Bull St Ste 102, Savannah, GA 31401 | 2012-03-26 |
| Find all providers in zip 31401 | ||||
| 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 |
|---|---|---|---|---|
| 1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
| 1588188841 | J C Lewis Primary Health Care Center Inc | Clinic/Center | 1410 Richards St, Savannah, GA 31415-2038 | 2017-07-28 |
| 1588017412 | J C Lewis Primary Health Care Center Inc | Clinic/Center | 1110 May St, Savannah, GA 31415-5470 | 2016-07-15 |
| 1184077018 | J C Lewis Primary Health Care Center, Inc | Clinic/Center | 3100 Montgomery St, Savannah, GA 31405-3212 | 2016-07-15 |
| 1235492398 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 2121 E. Derenne Ave, Savannah, GA 31406 | 2012-06-22 |
| 1659668010 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 349 W Bryan St, Savannah, GA 31401-2356 | 2011-07-06 |
| 1003065772 | Hardin County Regional Health Center | Clinic/Center | 150 East End Drive, Savannah, TN 38372-1712 | 2008-09-17 |
| 1619167749 | Curtis V. Cooper Primary Health Care,inc | Clinic/Center | 840a Hitch Drive, Savannah, GA 31401-3040 | 2007-07-25 |
| 1316972599 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 2 Roberts Street, Savannah, GA 31408-3524 | 2006-07-12 |
| 1750314183 | Curtis V. Cooper Primary Health Care, Inc | Clinic/Center | 106 East Broad Street, Savannah, GA 31401-2917 | 2006-07-09 |
| Find all providers in SAVANNAH | ||||
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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.