Organization
CARECONNECT HEALTH, INC.
Active
Other names
CareConnect Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA YOUNG (SECRETARY)
(229) 273-8881
Entity
Organization
Contact information
Practice address
109 S 3RD ST, COCHRAN, GA 31014-6718
(478) 934-4988
(478) 934-4989
Mailing address
P.O. BOX 5610, CORDELE, GA 31010-1514
(478) 934-4988
(478) 934-4989
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
747736056A
—
GA
Enumeration date
03/18/2010
Last updated
04/14/2020
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