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Primary Health Care Center Of Dade, Inc.
Federally Qualified Health Center (FQHC) in Trenton, Georgia
NPI 1437102449

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 Trenton, GA. The NPI Number for Primary Health Care Center Of Dade, Inc. is 1437102449 and holds a License No. (Georgia).

The current practice location address for Primary Health Care Center Of Dade, Inc. is 13570 N Main St, Trenton, GA and can be reached out via phone at 706-956-2665 and via fax at 706-657-5885.

Location: 13570 N Main St, Trenton, GA, 30752-2012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437102449
Provider Name
Primary Health Care Center Of Dade, Inc.
Credential
Provider Entity Type
Organization
Address
13570 N Main St, Trenton, GA, 30752-2012
Phone Number
706-956-2665
Fax Number
706-657-5885
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10057286 01 GA AMERIGROUP (GA MEDICAID)
336412 01 GA WELLCARE (GA MEDICAID MCO
000211956A 05 GA
institution
Provider Business Practice Location Address Details
Address
13570 N Main St
City
Trenton
State
Georgia
Zip
30752-2012
Phone Number
706-956-2665
Fax Number
706-657-5885
person
Provider Business Mailing Address Details
Address
13570 N Main St
City
Trenton
State
Georgia
Zip
30752-2012
Phone Number
706-956-2665
Fax Number
706-657-5885
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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