Diversity Health Center Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Ludowici, GA
NPI 1053884296 · NPPES record last updated Jan 10, 2019
Key facts
- NPI
- 1053884296
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- DIVERSITY HEALTH CENTER INC.
- Practice address
- 213 N McDonald St Ste C
Ludowici, GA 31316-6075 - Phone
- (912) 545-9398
- Fax
- (912) 545-2747
- NPI assigned
- Jan 10, 2019
- Organization subpart
- No
Authorized official
- Name
- Mrs. Stephanie Jones-Heath
- Title
- Ceo
- Phone
- (912) 318-3947
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Diversity Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
213 N McDonald St Ste C
Ludowici, GA 31316-6075
Mailing address
213 N McDonald St Ste C
Ludowici, GA 31316-6075
Phone (912) 545-9398
Other providers in Ludowici, GA
- Bridgett Coleman
- Latoya Crawley
- Thomas Richard Crutchfield
- Tiffany Deann Dewitt
- Diversity Health Center Inc
- Diversity Health Center Inc.
- Holli Bailey Eason
- Excelsior Ambulance Service Inc
- Skytina Roshelle Felder-Jones
- Stephanie Marie Garcia-Colon
All providers in Ludowici, GA · Federally Qualified Health Center (FQHC) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.