MEDLINK GEORGIA, INC (NPI# 1477068526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477068526 |
Entity Type | Organization |
Organization Name | MEDLINK GEORGIA, INC |
Other Organization Name | MEDLINK JACKSON |
Practice Address |
613 Hospital Rd Commerce GA 30529-1143 |
Mailing Address |
Po Box 459 Colbert GA 30628-0459 |
Practice Telephone | 7067882127 |
Practice Fax Number | 7067882815 |
Mailing Telephone | 7067883234 |
Mailing Fax Number | 7067882936 |
Enumeration Date | 2017-12-12 |
Last Update Date | 2018-04-06 |
Authorized Official Name | DAVE 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 |
Other Name | Type Code |
---|---|
MedLink Jackson | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881158616 | Medlink Georgia, Inc | Pharmacy | 520 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3779 | 2019-01-25 |
1124525183 | Medlink Georgia, Inc | Clinic/Center | 773 N Main St, Clayton, GA 30525-4257 | 2018-04-06 |
1700335882 | Medlink Georgia, Inc | Clinic/Center | 137 W Athens St, Ste 103, Winder, GA 30680-1786 | 2016-09-29 |
Street Address |
613 HOSPITAL RD |
City | COMMERCE |
State | GA |
Zip Code | 30529-1143 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306977178 | Sandra Hanson | Nurse Practitioner | 613 Hospital Rd, Commerce, GA 30529-1143 | 2007-03-07 |
1952591646 | Us Medical Corporation LLC | Internal Medicine | 613 Hospital Rd, Commerce, GA 30529-1143 | 2007-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841891249 | Himanshu Haridutt Desai | Pharmacist | 30983 Us-441 S, Commerce, GA 30529 | 2020-11-03 |
1477091155 | Joshua W. Upton | Pharmacist | 220 Hwy. 334, Commerce, GA 30529 | 2017-02-02 |
1881041853 | Le-nguyen, D.m.d., P.C. | Dentist | 119 Pottery Factory Drive, Commerce, GA 30529 | 2016-05-19 |
1104166800 | Ashley Hardigree Brueshaber | Nurse Practitioner | 1935 A Homer Rd, Suite A, Commerce, GA 30529 | 2013-02-18 |
1003179946 | Mary Allison Adams | Registered Nurse | 1935 Homer Rd Ste A, Commerce, GA 30529 | 2012-06-15 |
1386802155 | Urgent Care Banks Crossing LLC | Pain Medicine | 415 B Pottery Factory Drive, Commerce, GA 30529 | 2008-05-29 |
1841468287 | Ingles Markets Inc | Pharmacy | 220 Hwy 334, Commerce, GA 30529 | 2008-02-20 |
1548334758 | Advantage Bhs | Clinic/Center | 106 Industrial Pkwy, Commerce, GA 30529 | 2006-11-20 |
1023192325 | Thomas Arthur Wilber | Chiropractor | 30332 Highway 441 S, Commerce, GA 30529 | 2006-10-24 |
1194805689 | Brian Eugene Vandiver | Physical Therapist | 40095 Us Highway 441, Elite Physical Therapy, Commerce, GA 30529 | 2006-10-17 |
Find all providers in zip 30529 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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1699318550 | Community Health Center of Northeast Oklahoma, Inc. | Clinic/Center | 220 S Mickey Mantle Blvd, Commerce, OK 74339-2924 | 2019-10-23 |
1104485374 | Community Health Service Agency, Inc. | Clinic/Center | 606 Culver St, Commerce, TX 75428-3608 | 2019-06-11 |
1770006728 | Altamed Health Services Corp | Clinic/Center | 972 Goodrich Boulevard, Commerce, CA 90022-4114 | 2017-07-21 |
1215206503 | Jwch Institute, Inc. | Clinic/Center | 5650 Jillson St, Commerce, CA 90040 | 2011-12-15 |
1467909374 | Medlink Georgia Inc | Clinic/Center | 226 Steven B Tanger Blvd, Commerce, GA 30529-3571 | 2016-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
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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 |
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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.