John A. Glenn Jr. Center For Community Healthcare Inc.
LBN: John A. Glenn Jr. Center For Community Healthcare Inc.
John A. Glenn Jr. Center For Community Healthcare Inc. is an health care organization with primary practice located at 1112 Plaza Ave Suite C, Eastman GA 31023-9009. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
John A. Glenn Jr. Center For Community Healthcare Inc. can be contacted via phone (478) 374-1308, or through Glenn, John A via phone (478) 374-1308.
Contact Information
Primary practice address
1112 Plaza Ave Suite C
Eastman GA 31023-9009
Phone: (478) 374-1308
Fax: (478) 374-0302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 03995 | Georgia |
Profile Details
| NPI number | 1275736100 |
|---|---|
| LBN Legal business name | John A. Glenn Jr. Center For Community Healthcare Inc. |
| DBA Doing business as | |
| Authorized official | Glenn, John A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 7th, 2007 |
| Last updated | Dec 5th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275736100 | NPPES |
| Georgia | MEDICAID | 000613874A |
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