East Georgia Healthcare Center, Inc.

LBN: East Georgia Healthcare Center, Inc.
East Georgia Healthcare Center, Inc. is an health care organization with primary practice located at 215 N Coleman St , Swainsboro GA 30401-3530. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. East Georgia Healthcare Center, Inc. can be contacted via phone (478) 237-6262, or through Denmark, Jennie Wren via phone (478) 237-6262.

Contact Information

Primary practice address
215 N Coleman St Swainsboro GA 30401-3530
Phone: (478) 237-6262
Fax: (478) 237-9138
Website:
Map and Directions
Authorized official contact:
Name: Denmark, Jennie Wren
Phone: (478) 237-6262

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1831144971
LBN Legal business name East Georgia Healthcare Center, Inc.
DBA Doing business as
Authorized official Denmark, Jennie Wren
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Oct 23rd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831144971 NPPES
Georgia MEDICAID 000632376A

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