MEDLINK GEORGIA INC (NPI# 1275643272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275643272 |
Entity Type | Organization |
Organization Name | MEDLINK GEORGIA INC |
Other Organization Name | MEDLINK HARTWELL |
Practice Address |
63 W Gibson St Hartwell GA 30643-1845 |
Mailing Address |
Po Box 459 Colbert GA 30628-0459 |
Practice Telephone | 7063766100 |
Enumeration Date | 2006-08-30 |
Last Update Date | 2016-02-08 |
Authorized Official Name | DAVID WARD (CEO) |
Authorized Official Telephone | 7067883234 |
Is Organization Subpart | Y |
Parent Organization Name | MEDLINK GEORGIA 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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 000471765D | 05 |
Other Name | Type Code |
---|---|
MEDLINK HARTWELL | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649829532 | Medlink Georgia Inc | Clinic/Center | 2148 Duluth Hwy Ste 112, Duluth, GA 30097-4505 | 2019-09-04 |
1750860508 | Medlink Georgia Inc | Clinic/Center | 137 W Athens St Ste 104, Winder, GA 30680-1786 | 2018-08-13 |
1851722524 | Medlink Georgia Inc | Clinic/Center | 396 Historic Hwy 441 N, Demorest, GA 30535-4522 | 2013-12-06 |
1568572576 | Medlink Georgia Inc | Clinic/Center | 123 Gordon St, Washington, GA 30673-1601 | 2006-08-30 |
1235249236 | Medlink Georgia Inc | Clinic/Center | 206 E Church St, Bowman, GA 30624-2109 | 2006-08-30 |
1245340264 | Medlink Georgia Inc | Clinic/Center | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2006-08-30 |
1174177638 | Medlink Georgia Inc | Pharmacy | 396 Historic Hwy 441 N, Demorest, GA 30535 | 2019-08-01 |
1669951414 | Medlink Georgia Inc | Clinic/Center | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2018-08-13 |
1245732254 | Medlink Georgia Inc | Pharmacy | 11 Charlie Morris Rd, Colbert, GA 30628-2445 | 2018-03-06 |
1467909374 | Medlink Georgia Inc | Clinic/Center | 226 Steven B Tanger Blvd, Commerce, GA 30529-3571 | 2016-09-08 |
Street Address |
63 W GIBSON ST |
City | HARTWELL |
State | GA |
Zip Code | 30643-1845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467862813 | Daniel Gordon | Family Medicine | 63 W Gibson St, Hartwell, GA 30643-1845 | 2014-05-06 |
1386838761 | Debra D Hopkins | Nurse Practitioner | 63 W Gibson St, Hartwell, GA 30643-1845 | 2007-08-29 |
1023179090 | Theodore K Schock | Family Medicine | 63 W Gibson St, Hartwell, GA 30643-1845 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801101241 | Teresa Terri D Wofford | Speech-Language Pathologist | 456 Tuscarora Tr., Hartwell, GA 30643 | 2010-08-10 |
1982784583 | Lee Dental Group PC | Dentist | 30 Chandler Center, Hartwell, GA 30643 | 2006-10-17 |
1518051556 | Eugene Suarez Rodillo | General Acute Care Hospital | 111 South Webb Street, Hartwell, GA 30643 | 2006-10-03 |
1003901653 | Julia Florence Freeman | Registered Nurse | 696 Hickory Crossing Road, Hartwell, GA 30643 | 2006-10-03 |
1669565172 | Hart County Board of Health | Public Health or Welfare | 64 Reynolds Street, Hartwell, GA 30643 | 2006-10-02 |
1063506525 | Penney P Whiting | Licensed Practical Nurse | 287 Old Reed Creek Rd, Hartwell, GA 30643 | 2006-10-02 |
1508874561 | Hartwell Chiropractic Clinic | Chiropractor | 351 W Franklin St, Hartwell, GA 30643 | 2006-08-04 |
1386667152 | Wayne Martin Scott | Family Medicine | 162 Cade St, Suite D, Hartwell, GA 30643 | 2006-07-25 |
1902296213 | Anmed Health | Surgery | 28 Chandler Ctr, Hartwell, GA 30643 | 2015-01-26 |
1093064602 | Christopher Heath Seibert | Dentist | 30 Chandler Center, Hartwell, GA 30643 | 2012-08-29 |
Find all providers in zip 30643 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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 |
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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.