Organization Active NPI

Community Health Network of Northeast Georgia

  • Primary Care Clinic/Center
  • Cartersville, GA
National Provider Identifier
1376864538
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COMMUNITY HEALTH NETWORK OF NORTHEAST GEORGIA
Practice address
1 N Tennessee St
Cartersville, GA 30120-3339
Phone
(770) 334-2485
NPI assigned
Jun 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Mr. William Frank Burke
Title
Director, Clinical Services
Phone
(770) 334-2493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1 N Tennessee St
Cartersville, GA 30120-3339

Mailing address

1 N Tennessee St
Cartersville, GA 30120-3339
Phone (770) 334-2485

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1376864538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N TENNESSEE ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203339",
            "telephone_number": "770-334-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N TENNESSEE ST",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203339",
            "telephone_number": "770-334-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH NETWORK OF NORTHEAST GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL SERVICES",
        "authorized_official_telephone_number": "770-334-2493",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.