Active NPI
Flint River Rural Health Clinic
- Family Medicine Physician
- Oglethorpe, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FLINT RIVER RURAL HEALTH CLINIC
- Practice address
- 300 Medical Court
Oglethorpe, GA 31068 - Phone
- (478) 472-8178
- Fax
- (478) 472-3289
- NPI assigned
- Apr 13, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard K Chase, D. O.
- Title
- Physician
- Phone
- (478) 472-8178
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
300 Medical Court
Oglethorpe, GA 31068
Mailing address
PO Box 343
300 Medical Court
Oglethorpe, GA 31068-0343
Phone (478) 472-8178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00149487C | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Flint River Clinic at Reynolds
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Reynolds, GA
- NPI 1336373208
-
- Rural Health Clinic/Center
- Montezuma, GA
- NPI 1285961250
-
- Primary Care Clinic/Center
- Montezuma, GA
- NPI 1851522668
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Oglethorpe, GA
- NPI 1699718411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629032180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 343",
"address_2": "300 MEDICAL COURT",
"city": "OGLETHORPE",
"state": "GA",
"postal_code": "310680343",
"telephone_number": "478-472-8178",
"fax_number": "478-472-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL COURT",
"city": "OGLETHORPE",
"state": "GA",
"postal_code": "31068",
"telephone_number": "478-472-8178",
"fax_number": "478-472-3289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLINT RIVER RURAL HEALTH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHASE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "478-472-8178",
"authorized_official_credential": "D. O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00149487C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oglethorpe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.