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).
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 |
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 |
---|---|
YourTownHealth | Doing Business As Name - Organization |
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 |
Street Address |
507 PARK ST |
City | PALMETTO |
State | GA |
Zip Code | 30268-1007 |
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 |
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 Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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 |
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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.