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NPI Code Detail

MEDICARE: CARECONNECT HEALTH, INC.

MEDICARE: CARECONNECT HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1316485493
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARECONNECT HEALTH, INC.
Provider Business Mailing Address
First Line : 317 E WASHINGTON AVE
Second Line :
City : ASHBURN
State : GA
Zip : 31714-5248
Country : US
Telephone Number : 229-567-4414
Fax Number : 229-567-4419
Provider Business Practice Location Address
First Line : 317 E WASHINGTON AVE
Second Line :
City : ASHBURN
State : GA
Zip : 31714-5248
Country : US
Telephone Number : 229-567-4414
Fax Number : 229-567-4419
Authorized Official
Title or Position : SECRETARY
Name : LINDA YOUNG
Credential :
Telephone Number : 229-273-8881
Provider Enumeration Date : 02/08/2017
Last Update Date : 01/06/2020

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Directions to “CARECONNECT HEALTH, INC. ” Practice Location

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