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
636 2ND AVENUE, SW, ROCHELLE, GA 31079-2046
(229) 365-2570
(229) 365-2571
Mailing address
P.O. BOX 5610, CORDELE, GA 31010-1514
(229) 273-8881
(229) 273-8985
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
654828836A
—
GA
Enumeration date
11/26/2007
Last updated
01/06/2020
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