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Primary Health Care Center Of Dade, Inc.
Federally Qualified Health Center (FQHC) in Fort Oglethorpe, Georgia
NPI 1255512182

Primary Health Care Center Of Dade, Inc. is a Federally Qualified Health Center (FQHC) based in Trenton, GA and is specialized in Federally Qualified Health Center (FQHC). Primary Health Care Center Of Dade, Inc. practices in Fort Oglethorpe, GA. The NPI Number for Primary Health Care Center Of Dade, Inc. is 1255512182 and holds a License No. (Georgia).

The current practice location address for Primary Health Care Center Of Dade, Inc. is 2009 Old Lafayette Rd, Fort Oglethorpe, GA and can be reached out via phone at 706-866-5520 and via fax at 706-866-5502.

Location: 2009 Old Lafayette Rd, Fort Oglethorpe, GA, 30752-2012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255512182
Provider Name
Primary Health Care Center Of Dade, Inc.
Credential
Provider Entity Type
Organization
Address
2009 Old Lafayette Rd, Fort Oglethorpe, GA, 30752-2012
Phone Number
706-866-5520
Fax Number
706-866-5502
Provider Enumeration Date
11/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000211956C 05 GA
institution
Provider Business Practice Location Address Details
Address
2009 Old Lafayette Rd
City
Fort Oglethorpe
State
Georgia
Zip
30742-3510
Phone Number
706-866-5520
Fax Number
706-866-5502
person
Provider Business Mailing Address Details
Address
2009 Old Lafayette Rd
City
Fort Oglethorpe
State
Georgia
Zip
30742-3510
Phone Number
706-866-5520
Fax Number
706-866-5502
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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