Organization
CHRIST COMMUNITY HEALTH SERVICES AUGUSTA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URSULA SHANERRA ROSA (CREDENTIALING & PRIVILEGING MANAGER)
(706) 922-0600
Entity
Organization
Contact information
Practice address
1226 DANTIGNAC ST, AUGUSTA, GA 30901-2788
(706) 922-0600
(706) 922-0604
Mailing address
PO BOX 31164, AUGUSTA, GA 30903-2964
(706) 922-0600
(706) 922-0604
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127080A
—
GA
05
—
FQC158
—
SC
Enumeration date
08/20/2012
Last updated
07/28/2025
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