Organization · Type 2 NPI

McKinney Medical Center Inc

Federally Qualified Health Center (FQHC) · Kingsland, GA

NPI number 1821476193 Active

Practice location

711 Charles Gilman Jr Ave Ste B
Kingsland, GA 31548-5664

Call (912) 510-9728 Map

Mailing address

218 Quarterman St
Waycross, GA 31501-3547

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	K408492 (GA)

Federally Qualified Health Center (FQHC): Definition to come...

2 other providers at this address

NPI record

NPI: 1821476193
Entity type: Organization (Type 2)
Issued: May 7, 2015
Last updated: Jun 5, 2019
Status: Active
Subpart: Yes of McKinney Medical Center Inc

Other names

<unavail>
McKinney Medical Center, Inc · doing business as
McKinney Medical Center, Inc · doing business as
McKinney Community Health Center · doing business as

Authorized official

Ola Smith, CEO
CEO
(912) 287-0301

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821476193

McKinney Medical Center Inc's National Provider Identifier is 1821476193, issued on May 7, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Kingsland, GA. The record was last updated on Jun 5, 2019.