MCKINNEY MEDICAL CENTER INC (NPI# 1134454911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134454911 |
| Entity Type | Organization |
| Organization Name | MCKINNEY MEDICAL CENTER INC |
| Other Organization Name | MCKINNEY COMMUNITY HEALTH CENTER |
| Practice Address |
501 N Pierce St Alma GA 31510-2445 |
| Mailing Address |
218 Quarterman St Waycross GA 31501-3547 |
| Practice Telephone | 9126320872 |
| Practice Fax Number | 9122871568 |
| Mailing Telephone | 9122870301 |
| Mailing Fax Number | 9122871568 |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | OLA SMITH (CEO) |
| Authorized Official Telephone | 9122870301 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCKINNEY MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
2015000510 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mckinney Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578822433 | Mckinney Medical Center Inc | Clinic/Center | 935 Mcdonald St, Waycross, GA 31501-4651 | 2012-05-14 |
| 1871756049 | Mckinney Medical Center Inc | Clinic/Center | 9355 South Main Street, Nahunta, GA 31553-9806 | 2008-07-08 |
| 1801057690 | Mckinney Medical Center Inc | Clinic/Center | 3919 Main St, Folkston, GA 31537-7545 | 2008-06-24 |
| 1487665733 | Mckinney Medical Center Inc | Clinic/Center | 218 Quarterman St, Waycross, GA 31501 | 2006-08-11 |
| 1821476193 | Mckinney Medical Center Inc | Clinic/Center | 711 Charles Gilman Jr Ave Ste B, Kingsland, GA 31548-5664 | 2015-05-07 |
| Street Address |
501 N PIERCE ST |
| City | ALMA |
| State | GA |
| Zip Code | 31510-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578701157 | Allen Michael Vergen | Dentist | 501 N Pierce St, Alma, GA 31510-2445 | 2009-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693407 | Shepard Therapy Center | Occupational Therapist | 139 Ga Highway 32 Byp, Alma, GA 31510 | 2019-11-13 |
| 1760027320 | Sean Shepard | Physical Therapist | 139 Ga Hwy 32 Bypass, Alma, GA 31510 | 2019-11-07 |
| 1043875586 | Tricare Ambulance Service L.L.C. | Ambulance | 172 Pine Hollow Ln, Alma, GA 31510 | 2019-05-09 |
| 1053806299 | Eva Fedd | Counselor | 901 North Pierce St, Alma, GA 31510 | 2018-06-29 |
| 1730570268 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1041 S Us Highway 1, Alma, GA 31510 | 2015-02-05 |
| 1356475644 | Bacon County Family Medicine, LLC | Family Medicine | 205 South Wayne Street, Alma, GA 31510 | 2007-03-16 |
| 1720124043 | Unison Behavioral Health | Day Training, Developmentally Disabled Services | 1835 W 12th Street, Alma, GA 31510 | 2007-01-30 |
| 1891832952 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Quart Douglas Road, Alma, GA 31510 | 2007-01-30 |
| 1992899082 | George Joel Williams Jr. | Dentist | 408 E 16th St, George J Williams Dds, Alma, GA 31510 | 2006-10-03 |
| 1093829343 | Charles E Bagley Mdpc | Family Medicine | 210 E 16th Street, Alma, GA 31510 | 2006-08-17 |
| Find all providers in zip 31510 | ||||
| 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 MCKINNEY MEDICAL 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.