Organization
TRI-COUNTY HEALTH SYSTEM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA NEWSOME (CEO)
(706) 465-3253
Entity
Organization
Contact information
Practice address
156 ALEXANDER STREET, CRAWFORDVILLE, GA 30631-2800
(706) 456-2925
(706) 456-2224
Mailing address
PO BOX 312, WARRENTON, GA 30828-0312
(706) 465-3253
(706) 465-3028
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000060387T
MEDICAID FFS
GA
01
—
000215982E
MEDICAID FFS
GA
01
—
000302068K
MEDICAID FFS
GA
01
—
000308228C
MEDICAID FFS
GA
01
—
000471809C
MEDICAID FQHC
GA
01
—
08BBSCL
MEDICARE FFS
GA
01
—
08BBWTQ
MEDICARE FFS
GA
01
—
08BDFLS
MEDICARE FFS
GA
01
—
08BDFZD
MEDICARE FFS
GA
01
—
08BDMNG
MEDICARE FFS
GA
01
—
980939645G
MEDICAID FFS
GA
01
—
GRP1619
MEDICARE FFS
GA
Enumeration date
05/06/2008
Last updated
06/25/2008
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