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Primary Health Care Center Of Dade, Inc.
Federally Qualified Health Center (FQHC) in La Fayette, Georgia
NPI 1891395620

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 La Fayette, GA. The NPI Number for Primary Health Care Center Of Dade, Inc. is 1891395620 and holds a License No. (Georgia).

The current practice location address for Primary Health Care Center Of Dade, Inc. is 10 Probasco St Unit 214, La Fayette, GA and can be reached out via phone at 706-719-0888 and via fax at 706-657-5885.

Location: 10 Probasco St Unit 214, La Fayette, GA, 30752-2012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891395620
Provider Name
Primary Health Care Center Of Dade, Inc.
Credential
Provider Entity Type
Organization
Address
10 Probasco St Unit 214, La Fayette, GA, 30752-2012
Phone Number
706-719-0888
Fax Number
706-657-5885
Provider Enumeration Date
10/30/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 Probasco St Unit 214
City
La Fayette
State
Georgia
Zip
30728-2316
Phone Number
706-719-0888
Fax Number
706-657-5885
person
Provider Business Mailing Address Details
Address
10 Probasco St Unit 214
City
La Fayette
State
Georgia
Zip
30728-2316
Phone Number
706-719-0888
Fax Number
706-657-5885
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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