Organization
CARECONNECT HEALTH, INC.
Active
Other names
CareConnect Family Practice and Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA YOUNG (SECRETARY)
(229) 273-8881
Entity
Organization
Contact information
Practice address
510 ALSTON ST STE A, RICHLAND, GA 31825-6012
(229) 887-3324
(229) 887-2559
Mailing address
PO BOX 357, RICHLAND, GA 31825-0357
(229) 887-3324
(229) 887-2559
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000219678A
—
GA
Enumeration date
08/09/2006
Last updated
01/05/2021
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