PRIMARY HEALTH CARE CENTER OF DADE, INC. (NPI# 1699016527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699016527 |
Entity Type | Organization |
Organization Name | PRIMARY HEALTH CARE CENTER OF DADE, INC. |
Practice Address |
134 Rhea Mcclanahan Dr Tunnel Hill GA 30755-7328 |
Mailing Address |
13570 N Main St Trenton GA 30752-2012 |
Practice Telephone | 7068665520 |
Practice Fax Number | 7068665512 |
Mailing Telephone | 7066577575 |
Mailing Fax Number | 7068665512 |
Enumeration Date | 2013-03-01 |
Last Update Date | 2013-03-01 |
Authorized Official Name | AMY L BUFFINGTON (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 7068665520 |
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 |
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 |
1356715452 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 87 S Burnt Mill Rd, La Fayette, GA 30728-4263 | 2015-11-30 |
1235505678 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 87 S Burnt Mill Rd, La Fayette, GA 30728-4263 | 2015-08-20 |
1457770612 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 11638 Highway 27, Suite 8, Summerville, GA 30747-8514 | 2014-04-15 |
1952723298 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 118 E Girard Ave, Cedartown, GA 30125-2778 | 2014-01-06 |
1255512182 | Primary Health Care Center of Dade, Inc. | Clinic/Center | 205 Jenkins Rd, Rossville, GA 30741 | 2007-11-20 |
1437102449 | Primary Health Care Center of Dade, Inc. | Dentist | 13570 N Main St, Trenton, GA 30752-2012 | 2006-05-19 |
Street Address |
134 RHEA MCCLANAHAN DR |
City | TUNNEL HILL |
State | GA |
Zip Code | 30755-7328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306228887 | Amanda Quinn | Nurse Practitioner | 134 Rhea Mcclanahan Dr, Tunnel Hill, GA 30755-7328 | 2015-06-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134471204 | Highland Rivers Community Service Board | Community/Behavioral Health | 1149 Mount Vernon Rd, Tunnel Hill, GA 30755-6346 | 2012-10-12 |
1811450547 | Tracy Mechelle Headrick | In Home Supportive Care | 2103 Mulberry Ln, Tunnel Hill, GA 30755-7770 | 2019-04-10 |
1447789672 | Rebecca Lynn Ray | Occupational Therapy Assistant | 81 Hughes Ln, Tunnel Hill, GA 30755-8205 | 2017-06-10 |
1861698979 | Ellen Glenn Dreschel | Case Manager/Care Coordinator | 410 Crawford Ter, Tunnel Hill, GA 30755-9212 | 2007-06-25 |
1720697261 | Amy Wright X | In Home Supportive Care | 1508 Cardinal Way, Tunnel Hill, GA 30755-9279 | 2020-07-30 |
1265550354 | Virginia L Leonard | Chiropractor | 3525 Chattanooga Rd, Tunnel Hill, GA 30755-9393 | 2007-03-27 |
1083789788 | Misty M Suddeth | Nurse Practitioner | 3541 Chattanooga Rd, Tunnel Hill, GA 30755-9393 | 2006-11-21 |
1033221973 | Tunnel Hill Pharmacy Inc | Pharmacy | 3535 Chattanooga Rd, Tunnel Hill, GA 30755-9393 | 2006-08-31 |
1770138885 | Joshua Neil Wiseman | Pharmacist | 3535 Chattanooga Rd, Tunnel Hill, GA 30755-9393 | 2019-08-06 |
1265706550 | Tunnel Hill Walk In Medical Center, LLC | Family Medicine | 3541 Chattanooga Rd, Tunnel Hill, GA 30755-9393 | 2012-03-04 |
Find all providers in zip 30755 |
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 |
City | TUNNEL HILL |
Zip Code | 30755 |
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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.