Organization · Type 2 NPI
Primary Health Care Center of Dade, Inc.
Federally Qualified Health Center (FQHC) · La Fayette, GA
NPI number
1356715452
Active
Practice location
87 S Burnt Mill Rd
La Fayette, GA 30728-4263
Fax (706) 657-2958
Mailing address
13570 N Main St
Trenton, GA 30752-2012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
Other federally qualified health center (fqhc) providers in La Fayette
- Primary Health Care Center of Dade, Inc.Federally Qualified Health Center (FQHC) La Fayette, GA NPI 1235505678
- Primary Health Care Center of Dade, Inc.Federally Qualified Health Center (FQHC) La Fayette, GA NPI 1285461269
- Primary Health Care Center of Dade, Inc.Federally Qualified Health Center (FQHC) La Fayette, GA NPI 1891395620
- Georgia Mountains Health Services, Inc.Federally Qualified Health Center (FQHC) La Fayette, GA NPI 1932991791
About NPI 1356715452
Primary Health Care Center of Dade, Inc.'s National Provider Identifier is 1356715452, issued on Nov 30, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in La Fayette, GA. The record was last updated on Nov 30, 2015.