BOATWRIGHT-MCRAE CLINIC


Address: 441 N W Broat St, Mtvernon, GA 30428
Phone: 9125832229

BOATWRIGHT-MCRAE CLINIC (NPI# 1831152503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831152503
Entity Type Organization
Organization Name BOATWRIGHT-MCRAE CLINIC
Practice Address 441 N W Broat St
Mtvernon
GA 30428
Practice Telephone 9125832229
Mailing Telephone 9125832229
Enumeration Date 2006-04-11
Last Update Date 2008-08-07
Authorized Official Name CINDY VANN (OFFICE MANGER)
Authorized Official Telephone 9125235113
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
========= GA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
GA 000002076E 05

Office Location

Street Address 441 N W BROAT ST
City MTVERNON
State GA
Zip Code 30428

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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

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1346574084 Durall Capital Holdings, LLC Clinic/Center 59 Tipton Drive, Dahlonega, GA 30533 2009-09-29
1215260617 Durall Capital Holdings, LLC Clinic/Center 35 Lumpkin Campground Road N, Dawsonville, GA 30534 2009-09-16
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Competitor

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City MTVERNON
Zip Code 30428

Improve Information

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Dataset Information

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.

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