NPIMap

Organization Active NPI

Tri-County Health System, Inc.

  • Federally Qualified Health Center (FQHC)
  • Crawfordville, GA
National Provider Identifier
1124294434
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
TRI-COUNTY HEALTH SYSTEM, INC.
Practice address
156 Alexander Street
Crawfordville, GA 30631-2800
Phone
(706) 456-2925
Fax
(706) 456-2224
NPI assigned
May 6, 2008
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna Newsome
Title
Ceo
Phone
(706) 465-3253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

156 Alexander Street
Crawfordville, GA 30631-2800

Mailing address

PO Box 312
Warrenton, GA 30828-0312
Phone (706) 465-3253

National Provider Directory

National Provider Directory

Locations

156 Alexander St NW
Crawfordville, GA 30631
Phone (706) 456-2925

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1124294434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "WARRENTON",
            "state": "GA",
            "postal_code": "308280312",
            "telephone_number": "706-465-3253",
            "fax_number": "706-465-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 ALEXANDER STREET",
            "city": "CRAWFORDVILLE",
            "state": "GA",
            "postal_code": "306312800",
            "telephone_number": "706-456-2925",
            "fax_number": "706-456-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY HEALTH SYSTEM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-465-3253"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.