CARECONNECT CONVENIENT CARE – NPI #1487036075
Clinic/Center

CARECONNECT CONVENIENT CARE is an AHC clinic located in ELLAVILLE, GA. NPPES has assigned the NPI number 1487036075 to CARECONNECT CONVENIENT CARE on June 19, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CARECONNECT CONVENIENT CARE” is a dba name, the actual legal business name for this organization is CARECONNECT HEALTH, 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 6 years ago on Jan 06, 2020. 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 CARECONNECT CONVENIENT CARE below.

NPI Profile for
CARECONNECT HEALTH, INC.

NPI Number
1487036075
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARECONNECT HEALTH, INC.
Doing Business As (dba): CARECONNECT CONVENIENT CARE
Primary location
41 EAST OGLETHORPE STREET
ELLAVILLE, GA 31806
Phone: (229) 937-9003 Fax: (229) 937-9007
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LINDA YOUNG
SECRETARY
Phone: (229) 273-8881
Updated
Certification Date
Jan 06, 2020

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.

Taxonomy Code(s)

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.