East Georgia Healthcare Center Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Swainsboro, GA
NPI 1972160422 · NPPES record last updated May 21, 2019
Key facts
- NPI
- 1972160422
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- EAST GEORGIA HEALTHCARE CENTER INC
- Practice address
- 206 N Green St
Swainsboro, GA 30401-3218 - Phone
- (478) 237-7948
- Fax
- (478) 237-9138
- NPI assigned
- May 21, 2019
- Organization subpart
- No
Authorized official
- Name
- Jill R Sorrells
- Title
- Cfo
- Phone
- (478) 237-6262
Other NPIs on the same Medicare enrollment 15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050722000569 | GA | Part B Supplier - Clinic/Group Practice | 0547228686 |
Receives reassigned benefits from 49 practitioners 15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wadley, GA; Vidalia, GA; Sylvania, GA; Swainsboro, GA; Mount Vernon, GA; Stillmore, GA; Statesboro, GA; Soperton, GA… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
206 N Green St
Swainsboro, GA 30401-3218
Mailing address
215 N Coleman St
Swainsboro, GA 30401-3530
Phone (478) 237-2638
Other names
- Haddock Chiropractic
Other providers in Swainsboro, GA
- Dr. WM. Allen Herren,LLC
- Katie Durden
- Berine Denise Early
- East Georgia Healthcare Center Inc
- East Georgia Healthcare Center Inc
- East Georgia Healthcare Center, Inc.
- East Georgia Healthcare Center, Inc.
- East Georgia Healthcare Center, Inc.
- East Georgia Healthcare Center, Inc.
- East Georgia Healthcare Center, Inc.
All providers in Swainsboro, 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 May 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.