PRIMARY HEALTH CARE CENTER – NPI #1255512182
Clinic/Center
PRIMARY HEALTH CARE CENTER is an AHC clinic located in FORT OGLETHORPE, GA. NPPES has assigned the NPI number 1255512182 to PRIMARY HEALTH CARE CENTER on November 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PRIMARY HEALTH CARE CENTER” is a dba name, the actual legal business name for this organization is PRIMARY HEALTH CARE CENTER OF DADE, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)
The NPI profile was previously updated about 4 years ago on Sep 22, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIMARY HEALTH CARE CENTER below.
NPI Profile for
PRIMARY HEALTH CARE CENTER OF DADE, INC.
(more than 18 years ago)
FORT OGLETHORPE, GA 30742-3510 Phone: (706) 866-5520 Fax: (706) 866-5502
TRENTON, GA 30752-2012 Phone: (706) 657-7575 Fax: (706) 657-5885
CREDENTIALING COORDINATOR
Phone: (706) 956-2665
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
Identifiers for PRIMARY HEALTH CARE CENTER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | GA | 000211956C |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QF0400X - Clinic/Center / Federally Qualified Health Center (FQHC) (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.