Organization
COMMUNITY HEALTH CARE SYSTEMS, INC.
Active
Other names
TENNILLE COMMUNITY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN W PRICE (INSURANCE SUPERVISOR)
(478) 864-3448
Entity
Organization
Contact information
Practice address
116 SMITH ST, TENNILLE, GA 31089-1465
(478) 552-7384
(478) 552-1198
Mailing address
2251 W ELM ST, WRIGHTSVILLE, GA 31096-2017
(478) 864-3448
(478) 864-1288
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000521023G
—
GA
05
—
300029381A
—
GA
Enumeration date
05/11/2006
Last updated
11/22/2011
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