MCKINNEY COMMUNITY HEALTH CENTER – NPI #1487665733
Clinic/Center

MCKINNEY COMMUNITY HEALTH CENTER is an AHC clinic located in WAYCROSS, GA. NPPES has assigned the NPI number 1487665733 to MCKINNEY COMMUNITY HEALTH CENTER on August 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MCKINNEY COMMUNITY HEALTH CENTER” is a dba name, the actual legal business name for this organization is MCKINNEY MEDICAL CENTER 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 7 years ago on Jun 05, 2019. 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 MCKINNEY COMMUNITY HEALTH CENTER below.

NPI Profile for
MCKINNEY MEDICAL CENTER INC

NPI Number
1487665733
Enumeration Date

(about 20 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
MCKINNEY MEDICAL CENTER INC
Doing Business As (dba): MCKINNEY COMMUNITY HEALTH CENTER
Primary location
218 QUARTERMAN ST
WAYCROSS, GA 31501
Phone: (912) 287-9140 Fax: (912) 287-1568
Mailing address
Same as primary location
Organization Subpart
Yes - MCKINNEY COMMUNITY HEALTH CENTER is subpart of another organization.
Authorized Official
OLA SMITH
CEO
Phone: (912) 287-0301
Updated
Identifiers

Identifiers for MCKINNEY COMMUNITY HEALTH 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.

DescriptionIssuerStateIdentifier
OTHERAMERIGROUPGA10066125
OTHERWELLCAREGA336243
MEDICAIDGA000715415A WAYCROSS
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.