institution
J C Lewis Primary Health Care Center Inc
Federally Qualified Health Center (FQHC) in Savannah, Georgia
NPI 1780037614

J C Lewis Primary Health Care Center Inc is a Federally Qualified Health Center (FQHC) based in Savannah, GA and is specialized in Federally Qualified Health Center (FQHC). J C Lewis Primary Health Care Center Inc practices in Savannah, GA. The NPI Number for J C Lewis Primary Health Care Center Inc is 1780037614 and holds a License No. (Georgia).

The current practice location address for J C Lewis Primary Health Care Center Inc is 2414 Bull St, Savannah, GA and can be reached out via phone at 912-495-8887 and via fax at 912-495-8881.

Location: 2414 Bull St, Savannah, GA, 31416-0577
institution
Provider Profile Details
NPI Number
1780037614
Provider Name
J C Lewis Primary Health Care Center Inc
Credential
Provider Entity Type
Organization
Address
2414 Bull St, Savannah, GA, 31416-0577
Phone Number
912-495-8887
Fax Number
912-495-8881
Provider Enumeration Date
07/15/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003122855A 05 GA
202G701304 01 GA MEDICARE PART B
111979 01 GA MEDICARE PART A
institution
Provider Business Practice Location Address Details
Address
2414 Bull St
City
State
Zip
31401-9113
Phone Number
912-495-8887
Fax Number
912-495-8881
person
Provider Business Mailing Address Details
Address
2414 Bull St
City
State
Zip
31401-9113
Phone Number
912-495-8887
Fax Number
912-495-8881
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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