PALMETTO HEALTH COUNCIL, INC.


Address: 507 Park St, Palmetto, GA 30268-1007
Phone: 4049298824

PALMETTO HEALTH COUNCIL, INC. (NPI# 1952967234) 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) 1952967234
Entity Type Organization
Organization Name PALMETTO HEALTH COUNCIL, INC.
Practice Address 507 Park St
Palmetto
GA 30268-1007
Mailing Address 643 Main St
Palmetto
GA 30268-1138
Practice Telephone 4049298824
Practice Fax Number 4049299769
Mailing Telephone 4049298824
Mailing Fax Number 4049299769
Enumeration Date 2019-05-13
Last Update Date 2019-05-13
Authorized Official Name JON W WOLLENZIEN JR. (CEO)
Authorized Official Telephone 4049298824
Authorized Official Credential DBA
Is Organization Subpart Y
Parent Organization Name PALMETTO HEALTH COUNCIL, INC

Taxonomy

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 Provider/Organization Names

Other Name Type Code
YourTownHealth Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497984769 Palmetto Health Council, Inc. Family Medicine 3939 White House Parkway, Warm Springs, GA 31830-2455 2009-07-08
1235517343 Palmetto Health Council, Inc. Clinic/Center 48 Main St, Suite 3a, Senoia, GA 30276-1895 2015-05-08
1437488426 Palmetto Health Council, Inc. Pharmacy 643 Main St, Palmetto, GA 30268-1138 2009-12-22
1053540328 Palmetto Health Council, Inc. Clinic/Center 51 Gay Connector, Greenville, GA 30222-3339 2009-07-08

Office Location

Street Address 507 PARK ST
City PALMETTO
State GA
Zip Code 30268-1007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285707455 Angela P. Shannon Psychiatry & Neurology 507 Park St, Palmetto, GA 30268-1007 2006-11-16
1447791835 Lyzette Santiago Rodriguez Counselor 507 Park St, Palmetto, GA 30268-1007 2017-03-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013521491 Hla Ambulance LLC Ambulance 43 Amanda Ln, Palmetto, GA 30268 2020-09-03
1134779424 Center for Positive Change LLC Counselor 11207 Serenbe Lane, Hills, GA 30268 2019-09-18
1336397868 Key David Mcmurrain Jr. Preventive Medicine 10180 Capps Ferry Road, Palmetto, GA 30268 2008-09-09
1548333115 Carolyn E Johnson Registered Nurse 507 Park Street, Palmetto, GA 30268 2006-11-15
1386710796 Gary Lane Watts Dentist 501 Park St, Palmetto, GA 30268-1007 2006-11-28
1841580560 Palmetto Family Dental, PC Dentist 501 Park St, Palmetto, GA 30268-1007 2011-04-14
1861631053 Jordan Albert Brunson Dentist 501 Park St, Palmetto, GA 30268-1007 2009-02-11
1760507255 Gary L. Watts Dmd PC Dentist 501 Park St, Palmetto, GA 30268-1007 2007-03-21
1073577342 Jolyn Langford Garcia Pharmacist 405 Carlton Rd, Palmetto, GA 30268-1052 2006-04-13
1114543543 Atlanta Pharmacy Group, Inc. Pharmacy 405 Carlton Rd, Palmetto, GA 30268-1052 2020-06-22
Find all providers in zip 30268

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740372473 Palmetto Health Council Inc Clinic/Center 643 Main St, Palmetto, GA 30268-1138 2006-09-29
1124059753 Mcr Health, Inc. Clinic/Center 404 7th St W, Palmetto, FL 34221-5209 2006-07-05

Providers in the same taxonomy and state

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

Competitor

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City PALMETTO
Zip Code 30268

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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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