TRI-COUNTY HEALTH SYSTEM, INC. (NPI# 1124294434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124294434 |
Entity Type | Organization |
Organization Name | TRI-COUNTY HEALTH SYSTEM, INC. |
Practice Address |
156 Alexander Street Crawfordville GA 30631-2800 |
Mailing Address |
Po Box 312 Warrenton GA 30828-0312 |
Practice Telephone | 7064562925 |
Practice Fax Number | 7064562224 |
Mailing Telephone | 7064653253 |
Mailing Fax Number | 7064653028 |
Enumeration Date | 2008-05-06 |
Last Update Date | 2008-06-25 |
Authorized Official Name | DONNA NEWSOME (CEO) |
Authorized Official Telephone | 7064653253 |
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 | MEDICAID FQHC | 000471809C | 01 |
GA | MEDICAID FFS | 000060387T | 01 |
GA | MEDICAID FFS | 980939645G | 01 |
GA | MEDICAID FFS | 000215982E | 01 |
GA | MEDICAID FFS | 000302068K | 01 |
GA | MEDICARE FFS | 08BDMNG | 01 |
GA | MEDICARE FFS | GRP1619 | 01 |
GA | MEDICAID FFS | 000308228C | 01 |
GA | MEDICARE FFS | 08BBSCL | 01 |
GA | MEDICARE FFS | 08BBWTQ | 01 |
GA | MEDICARE FFS | 08BDFLS | 01 |
GA | MEDICARE FFS | 08BDFZD | 01 |
Street Address |
156 ALEXANDER STREET |
City | CRAWFORDVILLE |
State | GA |
Zip Code | 30631-2800 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790265056 | Community Health Care Systems Inc | Clinic/Center | 557a Broad St Nw, Crawfordville, GA 30631-2918 | 2018-08-16 |
1679643258 | Taliaferro County Board of Education | Local Education Agency (LEA) | 557 Broad St Nw, Crawfordville, GA 30631-2918 | 2006-11-09 |
1982655775 | Taliaferro County Board of Health | Public Health or Welfare | 109 Commerce St Nw, Crawfordville, GA 30631-2924 | 2006-05-15 |
1902438922 | Taliaferro County Board of Health | Preventive Medicine | 109 Commerce St Nw, Crawfordville, GA 30631-2924 | 2020-02-07 |
1285880526 | Kenya Johnson Smith | Registered Nurse | 109 Commerce St Nw, Crawfordville, GA 30631-2924 | 2008-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578135 | Jennifer Savary Duggar | Speech-Language Pathologist | 744 Lonnie Raker Ln, Crawfordville, FL 32327-0125 | 2020-11-02 |
1801407713 | Katherine M Owen | Nurse Practitioner | 27 Leslie Cir, Crawfordville, FL 32327-2643 | 2020-08-13 |
1144848953 | Jessica Lea Lucas | Counselor | 59 Brimner Dr, Crawfordville, FL 32327-1257 | 2020-07-08 |
1710502646 | Kevin Edward Norton | Social Worker | 54 Aspen Ct, Crawfordville, FL 32327-0522 | 2020-06-16 |
1437771763 | Sherry Marie Ledbetter | Social Worker | 34 Melody Ln, Crawfordville, FL 32327-3211 | 2020-05-08 |
1972124766 | Patrick Charles Mccray | Nurse Practitioner | 110 Melaleuca Dr, Crawfordville, FL 32327-4963 | 2020-05-03 |
1497385488 | Purvi Patel | Pharmacist | 2650 Crawfordville Hwy Ste 1, Crawfordville, FL 32327-2369 | 2020-01-19 |
1629615539 | Kristi Kay Damron | Social Worker | 2 Carrol Dr, Crawfordville, FL 32327-4657 | 2019-12-10 |
1538717657 | Mary Warren Adkison | Speech-Language Pathologist | 43 Lamar Ct, Crawfordville, FL 32327-3016 | 2019-09-02 |
1164078689 | Melody Carol Fancher | Counselor | 3295 Crawfordville Hwy Ste 11, Crawfordville, FL 32327-3178 | 2019-08-12 |
Find all providers in CRAWFORDVILLE |
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 |
---|---|---|---|---|
1790265056 | Community Health Care Systems Inc | Clinic/Center | 557a Broad St Nw, Crawfordville, GA 30631-2918 | 2018-08-16 |
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 |
City | CRAWFORDVILLE |
Zip Code | 30631 |
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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.