East Georgia Healthcare Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

EAST GEORGIA HEALTHCARE CENTER, INC.

Practice address

125B Victory Dr
Swainsboro, GA 30401-3234

Phone

(478) 237-5850

Fax

(478) 237-5855

NPI assigned

Jan 9, 2008

Last updated

Jan 12, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennie Wren C Denmark

Title

Ceo

Phone

(478) 237-6262

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1477738417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 S MAIN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013618",
            "telephone_number": "478-237-6262",
            "fax_number": "478-237-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125B VICTORY DR",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013234",
            "telephone_number": "478-237-5850",
            "fax_number": "478-237-5855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST GEORGIA HEALTHCARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "DENMARK",
        "authorized_official_first_name": "JENNIE WREN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-237-6262"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Federally Qualified Health Center (FQHC) in Swainsboro, GA
• Providers in Swainsboro, GA by specialty
• Federally Qualified Health Center (FQHC) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.