institution
Good Samaritan Health Center Of Cobb
Federally Qualified Health Center (FQHC) in Marietta, Georgia
NPI 1881923126

Good Samaritan Health Center Of Cobb is a Federally Qualified Health Center (FQHC) based in Marietta, GA and is specialized in Federally Qualified Health Center (FQHC). Good Samaritan Health Center Of Cobb practices in Marietta, GA. The NPI Number for Good Samaritan Health Center Of Cobb is 1881923126 and holds a License No. 054389 (Georgia).

The current practice location address for Good Samaritan Health Center Of Cobb is 1605 Roberta Dr Sw, Marietta, GA and can be reached out via phone at 404-937-3850 and via fax at 770-419-3121.

Location: 1605 Roberta Dr Sw, Marietta, GA, 30008-3855
institution
Provider Profile Details
NPI Number
1881923126
Provider Name
Good Samaritan Health Center Of Cobb
Credential
Provider Entity Type
Organization
Address
1605 Roberta Dr Sw, Marietta, GA, 30008-3855
Phone Number
404-937-3850
Fax Number
770-419-3121
Provider Enumeration Date
12/16/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202G703251 01 MEDICARE PART B
01000654 05 GA
08BBRXN 01 GA MEDICARE
003151808A 05 GA
111043 01 GA MEDICARE PART A PTAN
institution
Provider Business Practice Location Address Details
Address
1605 Roberta Dr Sw
City
State
Zip
30008-3855
Phone Number
404-937-3850
Fax Number
770-419-3121
person
Provider Business Mailing Address Details
Address
1605 Roberta Dr Sw
City
State
Zip
30008-3855
Phone Number
404-937-3850
Fax Number
770-419-3121
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
(Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
054389 (Georgia)
Definition
Definition to come...
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