Organization
JOHNSON COUNTY CENTER FOR COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN W PRICE (INSURANCE SUPERVISOR)
(478) 864-3448
Entity
Organization
Contact information
Practice address
508 W ELM ST, WRIGHTSVILLE, GA 31096-1224
(478) 864-3448
(478) 864-1288
Mailing address
508 W ELM ST, WRIGHTSVILLE, GA 31096-1224
(478) 864-3448
(478) 864-1288
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
043153
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00521023A
—
GA
01
—
043153
PROVIDER MEDICAL LICENSE
GA
Enumeration date
05/15/2006
Last updated
08/22/2020
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