Johnson County Center for Community Health
Organization Active NPI Federally Qualified Health Center (FQHC) · Wrightsville, GA
NPI 1245281112 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1245281112
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- License
- 043153 (GA)
- Legal business name
- JOHNSON COUNTY CENTER FOR COMMUNITY HEALTH
- Practice address
- 508 W Elm St
Wrightsville, GA 31096-1224 - Phone
- (478) 864-3448
- Fax
- (478) 864-1288
- NPI assigned
- May 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Lynn W Price
- Title
- Insurance Supervisor
- Phone
- (478) 864-3448
Corporate family (same tax ID) 19
Practitioners 1
-
Cherilyn S Zellner, M.D.
National Provider Directory
- Tax ID family
- Johnson County Center for Community Health
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | 043153 | GA | Yes |
Addresses
Primary practice location
508 W Elm St
Wrightsville, GA 31096-1224
Mailing address
508 W Elm St
Wrightsville, GA 31096-1224
Phone (478) 864-3448
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00521023A | Medicaid | GA | |
| 043153 | Other | GA | PROVIDER MEDICAL LICENSE |
Other providers in Wrightsville, GA
- Hospice Advantage, LLC.
- Anthony Lewis Howard Sr.
- Christy Clyborne Jackson
- Johnson County Board of Health
- Johnson County Center for Community Health
- Johnson County Commissioner of Roads and Revenues
- Kathryn Johnson
- Melissa Cheryl Kilgore
- Allison Lee
- Malissa Denae Martin
All providers in Wrightsville, 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 Aug 22, 2020. 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.