East Georgia Healthcare Center, Inc
Federally qualified health center in Soperton, GA, Medicare certification number 111889.
Medicare certification
Provider of Services- CCN
- 111889
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – partnership
- Participating since
- Jan 28, 2005
- Last certification
- Jan 28, 2005
- Address
- 4357 E Louisiana Ave
Soperton, GA 30457
(912) 529-5533
NPI records for this facility (CCN to NPI Mapping) 1
-
- Federally Qualified Health Center (FQHC)
- Soperton, GA
- NPI 1700820917
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.